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MICHAEL LACEY, MPT

MPT

Physical Therapist

NPI: 1487621173Individual

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

40QA01093000(NJ)5400(SC)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2003

Contact & Hours

Address
3240 SUNSET BLVD
WEST COLUMBIA, SC 29169

Quick Facts

NPI
1487621173
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
23

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