NICHOLAS DAVID LACEY

ARROYO GRANDE, CA
NPI1639638984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  296330)
Enumeration Date2019-03-17
Last Update Date2024-03-11
Business Address
NICHOLAS DAVID LACEY PT, DPT
1510 W BRANCH ST
ARROYO GRANDE, CA 93420-1817
Phone number: 805-489-7912
Mailing Address
NICHOLAS DAVID LACEY PT, DPT
408 HIGUERA ST STE 200
SAN LUIS OBISPO, CA 93401-6135
Phone number: 805-788-0805