Jaclyn Lee Lantz, COTA/L

NPI #1770085854 in Bella Vista, Arkansas

Provider Information

NPI Number: 1770085854
Entity Type: Individual
Name: Jaclyn Lee Lantz, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: COTA/L
Enumeration Date: Mar 5, 2018
Last Updated: Sep 29, 2023

Practice Location

Address: 24 KENTALLEN LN
City: Bella Vista
State: Arkansas
ZIP Code: 72715-2903
Phone: (479) 531-3797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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