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Organization
PHYSICAL THERAPIST
Active
Organization
PHYSICAL THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE E LACEY DPT (PHYSICAL THERAPIST)
(480) 577-1398
Entity
Organization
Contact information
Practice address
2614 JASMINE ST, NATIONAL CITY, CA 91950-6253
(480) 577-1398
Mailing address
2614 JASMINE ST, NATIONAL CITY, CA 91950-6253
(480) 577-1398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39149
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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