MRS. LACEY GRACE, PTA

Physical Therapy Assistant

Active Individual
NPI: 1104016682

Practice Address

24 OLD ETNA RD
Lebanon, NH 03766

Phone: (603) 442-4207

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 0845 (NH)

Frequently Asked Questions

NPI 1104016682 is the National Provider Identifier for MRS. LACEY GRACE, PTA, a Physical Therapy Assistant provider located in Lebanon, NH. This NPI was enumerated on July 31, 2007.
MRS. LACEY GRACE, PTA practices at 24 OLD ETNA RD, Lebanon, NH 03766.

Quick Facts

NPI
1104016682
Type
Individual
Enumerated
Jul 31, 2007
Last Updated
Jul 31, 2007

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