Individual
DR. LACEY AILENE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
Mailing address
27 PERRY ST, DOUGLAS, MA 01516-2424
(774) 437-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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