Antonio, Lacey

Antonio, Lacey is an sole proprietor health care provider with primary practice located at 1360 Lovers Lane Rd , Leesburg GA 31763-4544. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Antonio, Lacey can be contacted via phone (229) 881-2594.

Contact Information

Primary practice address
1360 Lovers Lane Rd Leesburg GA 31763-4544
Phone: (229) 881-2594
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1679233100
LBN Legal business name Antonio, Lacey
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2021
Last updated Dec 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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