Lacy Hafen, COTA/L
NPI #1699130690 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1699130690
- Entity Type
- Individual
- Name
- Lacy Hafen, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 18, 2015
- Last Updated
- Dec 18, 2015
Practice Location
- Address
- 25117 SW PARKWAY AVE
- Address 2
- STE D
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (971) 224-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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