Lacey, Mandy Gallaway
Lacey, Mandy Gallaway is an individual health care provider with primary practice located at 721 Reservoir Ave , Cranston RI 02910-4430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lacey, Mandy Gallaway can be contacted via phone (401) 946-4250.Contact Information
Primary practice address
721 Reservoir Ave
Cranston RI 02910-4430
Phone: (401) 946-4250
Fax: (401) 275-5645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT01516 | Rhode Island |
Profile Details
| NPI number | 1063727592 |
|---|---|
| LBN Legal business name | Lacey, Mandy Gallaway |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2010 |
| Last updated | Sep 3rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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