LACEY ANN GRACE

LEBANON, NH
NPI1104016682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NH  0845)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
Mrs. LACEY ANN GRACE PTA
24 OLD ETNA RD
LEBANON, NH 03766-1937
Phone number: 603-442-4207
Mailing Address
Mrs. LACEY ANN GRACE PTA
130 JAMES ST
CHARLESTOWN, NH 03603-4716
Phone number: 603-826-5702