LACY HAFEN

WILSONVILLE, OR
NPI1699130690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  5656)
Enumeration Date2015-12-18
Last Update Date2015-12-18
Business Address
-- LACY HAFEN COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
Mailing Address
-- LACY HAFEN COTA/L
14775 W YORKSHIRE DR
SURPRISE, AZ 85374-7224
Phone number: