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1659048106
TIARA JAQUESE LACEY
BESSEMER, AL
NPI
1659048106
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Former Name
TIARA HOWTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH10512)
Enumeration Date
2021-08-24
Last Update Date
2022-04-05
Business Address
TIARA JAQUESE LACEY PT, DPT
2910 MORGAN RD
BESSEMER, AL 35022-6484
Phone number: 205-230-0400
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Mailing Address
TIARA JAQUESE LACEY PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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