LACEY ROSE
Physical Therapist
Active
Individual
NPI: 1336478791
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PT2435 (MS) |
Frequently Asked Questions
NPI 1336478791 is the National Provider Identifier for LACEY ROSE, a Physical Therapist provider located in Grenada, MS. This NPI was enumerated on December 15, 2009.
LACEY ROSE practices at 1966 HILL DR, Grenada, MS 38901.
Quick Facts
- NPI
- 1336478791
- Type
- Individual
- Enumerated
- Dec 15, 2009
- Last Updated
- Dec 15, 2009
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