MRS. Lacey Ann Grace, PTA
NPI #1104016682 in Lebanon, New Hampshire
Provider Information
- NPI Number
- 1104016682
- Entity Type
- Individual
- Name
- MRS. Lacey Ann Grace, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 31, 2007
- Last Updated
- Jul 31, 2007
Practice Location
- Address
- 24 OLD ETNA RD
- City
- Lebanon
- State
- New Hampshire
- ZIP Code
- 03766-1937
- Phone
- (603) 442-4207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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