Kianna Janae Lacy, OT

NPI #1275371809 in Justin, Texas

Provider Information

NPI Number: 1275371809
Entity Type: Individual
Name: Kianna Janae Lacy, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 17516 MATANY RD STE 100
City: Justin
State: Texas
ZIP Code: 76247-8707
Phone: (940) 654-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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