Individual provider · Type 1 NPI

Lacey Ann Grace, PTA

Physical Therapy Assistant · Lebanon, NH

NPI number 1104016682 Active

Practice location

24 Old Etna Rd
Lebanon, NH 03766-1937

Fax (603) 442-4250

Mailing address

130 James St
Charlestown, NH 03603-4716

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0845 (NH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104016682

Lacey Ann Grace, PTA's National Provider Identifier is 1104016682, issued on Jul 31, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lebanon, NH. The record was last updated on Jul 31, 2007.