Lacie Daniel, PTA

NPI #1740744937 in Azle, Texas

Provider Information

NPI Number
1740744937
Entity Type
Individual
Name
Lacie Daniel, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jan 22, 2019
Last Updated
Jan 22, 2019

Practice Location

Address
721 DUNAWAY LN
City
Azle
State
Texas
ZIP Code
76020-2605
Phone
(817) 444-2536

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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