Individual
GABBY BURMASTER LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 LEIGHTON AVE # B, ANNISTON, AL 36207-5744
(256) 235-2524
(256) 236-2573
Mailing address
626 LEIGHTON AVE # B, ANNISTON, AL 36207-5744
(256) 235-2524
(256) 236-2573
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTH11609
AL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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