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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS CODY MARIA LACKEY, COTA/L

Active Sole Proprietor

MISS CODY MARIA LACKEY, COTA/L is a Occupational Therapy Assistant healthcare provider located in BROOKVILLE, Indiana. NPI 1316241664 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BROOKVILLE, IN

Registration Details

NPI Number
1316241664
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2010 (15.624258999903 yrs)
Last Updated
Dec 30, 2010
License
OTA-04119 (OH)
Sole Proprietor
Yes

Practice Information

Address
1176 WEHR RD
BROOKVILLE, IN, 470129227
Browse IN providers · Browse ZIP 47012
Phone
8127764226
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.