Individual
LACY HOAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 N PLAZA DR, APACHE JUNCTION, AZ 85120-5505
(480) 982-7794
Mailing address
4264 E VISTA GRANDE, SAN TAN VALLEY, AZ 85140-6483
(480) 586-4107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10510APTA
AZ
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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