Grace, Lacey Ann
Grace, Lacey Ann is an sole proprietor health care provider with primary practice located at 24 Old Etna Rd , Lebanon NH 03766-1937. 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. Grace, Lacey Ann can be contacted via phone (603) 442-4207.Contact Information
Primary practice address
24 Old Etna Rd
Lebanon NH 03766-1937
Phone: (603) 442-4207
Fax: (603) 442-4250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 0845 | New Hampshire |
Profile Details
| NPI number | 1104016682 |
|---|---|
| LBN Legal business name | Grace, Lacey Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2007 |
| Last updated | Jul 31st, 2007 - about 18 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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