LACEY ANTONIO

LEESBURG, GA
NPI1679233100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-12-24
Last Update Date2021-12-24
Business Address
LACEY ANTONIO PTA
1360 LOVERS LANE RD
LEESBURG, GA 31763-4544
Phone number: 229-881-2594
Mailing Address
LACEY ANTONIO PTA
1360 LOVERS LANE RD
LEESBURG, GA 31763-4544
Phone number:
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