LACEY ROSE LAVOIE

SALT LAKE CITY, UT
NPI1083102735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  5752)
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
LACEY ROSE LAVOIE PTA
1952 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-6877
Phone number: 208-942-7625
Mailing Address
LACEY ROSE LAVOIE PTA
1952 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-6877
Phone number: