Individual
MRS. LACEY OZBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4616 HIGHWAY 84 W, VIDALIA, LA 71373-3357
(318) 336-5400
(318) 336-8621
Mailing address
4616 HIGHWAY 84 W, VIDALIA, LA 71373-3357
(318) 336-5400
(318) 336-8621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09814
LA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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