MISS Cody Maria Lackey, COTA/L
NPI #1316241664 in Brookville, Indiana
Provider Information
- NPI Number
- 1316241664
- Entity Type
- Individual
- Name
- MISS Cody Maria Lackey, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 30, 2010
- Last Updated
- Dec 30, 2010
Practice Location
- Address
- 1176 WEHR RD
- City
- Brookville
- State
- Indiana
- ZIP Code
- 47012-9227
- Phone
- (812) 776-4226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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