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1154830677
LACEY WISE
CASTLE ROCK, WA
NPI
1154830677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT61342050)
Enumeration Date
2017-09-27
Last Update Date
2024-03-26
Business Address
Ms. LACEY WISE PT
1316 MT SAINT HELENS WAY SE SUITE B
CASTLE ROCK, WA 98611
Phone number: 360-557-8020
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Mailing Address
Ms. LACEY WISE PT
1817 S MARKET BLVD STE C
CHEHALIS, WA 98532-4100
Phone number: 360-996-4410
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