MISS Lacy Rae Phillips, PTA

NPI #1487214391 in Omaha, Nebraska

Provider Information

NPI Number
1487214391
Entity Type
Individual
Name
MISS Lacy Rae Phillips, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Geriatrics
Credential
PTA
Enumeration Date
Jun 13, 2019
Last Updated
Jun 13, 2019

Practice Location

Address
4102 WOOLWORTH AVE
City
Omaha
ZIP Code
68105-1851
Phone
(402) 444-7000

Specialties & Taxonomy Codes

Specialty
Physical Therapist - GeriatricsGeriatrics

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