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Individual

MRS. LACEY ELIZABETH ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 330-8627
(360) 330-8786
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 330-8844
(360) 330-8623

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60217733
WA

Other

Enumeration date
07/03/2012
Last updated
11/10/2021
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