MR. Jason David Lacy, MSR, OTR-L, ATP

NPI #1255489324 in Chickamauga, Georgia

Provider Information

NPI Number: 1255489324
Entity Type: Individual
Name: MR. Jason David Lacy, MSR, OTR-L, ATP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSR, OTR-L, ATP
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 74 GLASS MILL POINTE DR
City: Chickamauga
State: Georgia
ZIP Code: 30707-3478
Phone: (706) 375-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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