Lacey S Rose
NPI #1336478791 in Grenada, Mississippi
Provider Information
- NPI Number
- 1336478791
- Entity Type
- Individual
- Name
- Lacey S Rose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 15, 2009
- Last Updated
- Dec 15, 2009
Practice Location
- Address
- 1966 HILL DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5047
- Phone
- (662) 226-2442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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