MONICA SHAWNTAE LACKEY

MOCKSVILLE, NC
NPI1891254199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  10933)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2019-03-16
Last Update Date2022-07-25
Business Address
MONICA SHAWNTAE LACKEY OTR/L
150 KEN DWIGGINS DR
MOCKSVILLE, NC 27028-2439
Phone number: 336-751-1209
Mailing Address
MONICA SHAWNTAE LACKEY OTR/L
1064 KINGS MEADOW DR
WINSTON SALEM, NC 27127-4929
Phone number: 704-622-0296