Lacy Lin Vadder, COTA/L Valid NPI
Individual provider · Occupational Therapy Assistant · Hennessey, OK
- NPI
- 1194166264
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- 844 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-07-17
- Last updated
- 2013-07-17
Practice location
1679 N 2780 Rd
Hennessey, OK 73742-6624
(405) 853-1210