| NPI | 1154566909 |
|---|---|
| Former Name | LACEY S. GARVIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14135) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-10-13 |