Lisa Michelle Pace, PTA

NPI #1184916041 in Alton, Illinois

Provider Information

NPI Number: 1184916041
Entity Type: Individual
Name: Lisa Michelle Pace, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 1 MEMORIAL DR
City: Alton
State: Illinois
ZIP Code: 62002-6722
Phone: (618) 463-7429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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