Individual
MRS. LACEY ANN CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
Mailing address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002590
WV
Other
Enumeration date
12/15/2006
Last updated
04/20/2009
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