Lacey Powell
NPI #1114601473 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1114601473
- Entity Type
- Individual
- Name
- Lacey Powell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 14, 2023
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 108 DEBO DR STE 130
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-4918
- Phone
- (843) 796-2850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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