Search › Arizona › 225XP0200X
Justin Lackey, OTD, OTR/L
NPI 1477387835 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2120 E Park View Ln
Phoenix, AZ 85024 - Phone
- (805) 338-3361
- Organisation at this address
- North Star Pediatric Therapy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona