Individual
CHRISTOPHER J. LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
146 SW ORTHOPEDIC CT, LAKE CITY, FL 32024-0672
(386) 719-5100
(386) 719-5101
Mailing address
4500 W NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
(352) 332-0799
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 21841
PTA LICENSE
FL
Enumeration date
09/11/2009
Last updated
02/19/2015
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