NPI 1104016682

Lacey Ann Grace, PTA

Practitioner Physical Therapy Assistant Lebanon, NH

Practice location

Address: 24 Old Etna Rd, Lebanon, NH 03766-1937
Phone: (603) 442-4207
Fax: (603) 442-4250
Mailing address: 130 James St, Charlestown, NH 03603-4716

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0845 (NH)

Other Physical Therapy Assistant providers in New Hampshire →

Registry record

NPI: 1104016682
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2007
Record last updated: 31 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.