Individual
LACY MROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1316 E 7TH ST, AUBURN, IN 46706-2538
(941) 961-8280
Mailing address
101 W MAIN ST, SYRACUSE, IN 46567-1126
(941) 961-8280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013924A
IN
Other
Enumeration date
09/13/2020
Last updated
02/13/2021
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