DR. Lacy Lee Gardner-Hattaway, OTD, OTR/L, C/NDT

NPI #1073838413 in Gray, Georgia

Provider Information

NPI Number: 1073838413
Entity Type: Individual
Name: DR. Lacy Lee Gardner-Hattaway, OTD, OTR/L, C/NDT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L, C/NDT
Enumeration Date: Mar 29, 2010
Last Updated: Mar 13, 2020

Practice Location

Address: 922 GA HIGHWAY 18 W
City: Gray
State: Georgia
ZIP Code: 31032-3734
Phone: (478) 986-8527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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