Individual
JEFFREY EVANS LACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
465 E CHILTON DR, SUITE 6, CHANDLER, AZ 85225-1184
(480) 503-2100
(480) 503-2131
Mailing address
9047 E BLANCHE DR, SCOTTSDALE, AZ 85260-2755
(480) 661-7890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2336
AZ
Other
Enumeration date
01/18/2006
Last updated
07/10/2008
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