Individual provider · Type 1 NPI

Lacie House, RSA

Rehabilitation Practitioner · Waterloo, IL

NPI number 1578112736 Active

Practice location

988 N Illinois Route 3
Waterloo, IL 62298-1059

Call (618) 939-4444 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1578112736

Lacie House, RSA's National Provider Identifier is 1578112736, issued on Sep 10, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Waterloo, IL. The record was last updated on Sep 10, 2019.