Candice Lacey, PTA
NPI #1033935283 in Berryville, Arkansas
Provider Information
- NPI Number
- 1033935283
- Entity Type
- Individual
- Name
- Candice Lacey, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 3, 2024
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 806 W COLLEGE AVE
- City
- Berryville
- State
- Arkansas
- ZIP Code
- 72616-3107
- Phone
- (870) 423-3124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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