Lacey Rae

NPI 1366996639 · on the registry since 2016 · sole proprietor

Practice

Address: 120 S Broad St
Suite A
Grove City, PA 16127
Phone: (724) 458-1500
Fax: (724) 458-1501
Organisation at this address: Adventure Time Pediatric Therapy & Learning Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania