Kendall Jo Lacy, OTR

NPI #1265062400 in Wichita Falls, Texas

Provider Information

NPI Number
1265062400
Entity Type
Individual
Name
Kendall Jo Lacy, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
OTR
Enumeration Date
Jan 15, 2020
Last Updated
Jan 30, 2020

Practice Location

Address
4309 OLD JACKSBORO HWY STE 101
State
Texas
ZIP Code
76302-2700
Phone
(940) 386-1004

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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