Individual
LACEY ANN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2490 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3150
(719) 632-2220
Mailing address
5945 NORA PT, #104, COLORADO SPRINGS, CO 80919-3756
(832) 274-3152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058990
TX
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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