LACEY COOPER

GOODYEAR, AZ
NPI1346907383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AZ  PTA-013960)
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
LACEY COOPER PTA
15385 W FILLMORE ST UNIT 35
GOODYEAR, AZ 85338-4182
Phone number: 623-692-9917
Mailing Address
LACEY COOPER PTA
15385 W FILLMORE ST UNIT 35
GOODYEAR, AZ 85338-4182
Phone number:
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