MRS. Mandy Gallaway Lacey, OTR/L

NPI #1063727592 in Cranston, Rhode Island

Provider Information

NPI Number: 1063727592
Entity Type: Individual
Name: MRS. Mandy Gallaway Lacey, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 9, 2010
Last Updated: Sep 3, 2015

Practice Location

Address: 721 RESERVOIR AVE
City: Cranston
State: Rhode Island
ZIP Code: 02910-4430
Phone: (401) 946-4250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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