IndividualActive
Lacy Gardner-Hattaway, OTD, OTR/L, C/NDT
NPI 1073838413 · Occupational Therapist · Gray, GA
Provider details
- NPI number
- 1073838413
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD, OTR/L, C/NDT
- Sex
- Female
- Sole proprietor
- No
- License
- OT005050 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
922 Ga Highway 18 W
Gray, GA 31032-3734
Phone: (478) 986-8527
Approximate (ZIP-level) locationGet directions
Mailing address
922 Ga Highway 18 W
Gray, GA 31032-3734
Additional practice locations (1)
- 1014 Forsyth StMacon, GA 31201-2051Phone: (478) 633-2742
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.