-- LACIE MOORE P.T.A. ⚕️ Maryland 1497023097

NPI	1497023097
Former Name	LACIE DER
Entity Type	Individual
Gender	Female
Sole Proprietor ?	No
Primary Taxonomy	225200000X Physical Therapy Assistant (Licence: MD A3664)
Enumeration Date	2011-12-09
Last Update Date	2012-07-16

-- LACIE MOORE P.T.A.

6011 UNIVERSITY BLVD SUITE 120

ELLICOTT CITY, MD 21043-6074

Phone number: 410-203-0391

-- LACIE MOORE P.T.A.

6011 UNIVERSITY BLVD SUITE 120

ELLICOTT CITY, MD 21043-6104

Phone number: 410-203-0391