Lacy Lynn Granger
Lacy Lynn Granger is an Occupational Therapy Assistant in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2020.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
26877 N 87th LnPeoria, AZ 85383-3716
Phone: (575) 302-8331
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 046846 (AZ) |
|---|
Record details
| NPI number | 1831704188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 14, 2020 |
| Last updated in NPPES | September 14, 2020 |
| Certification date | September 14, 2020 |
| Mailing address | 26877 N 87th Ln, Peoria, AZ 85383-3716 |
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