LISA MICHELLE PACE

ALTON, IL
NPI1184916041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.001959)
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- LISA MICHELLE PACE PTA
1 MEMORIAL DR
ALTON, IL 62002-6722
Phone number: 618-463-7429
Mailing Address
-- LISA MICHELLE PACE PTA
840 E FERGUSON AVE
WOOD RIVER, IL 62095-2150
Phone number: 618-251-4369
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