Individual
CHERYL A LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
130 NORTH ST, HYANNIS, MA 02601-3825
(508) 771-9600
Mailing address
96 GOFF TER, CENTERVILLE, MA 02632-2195
(508) 344-8861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2866
MA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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