Laci Dawn Johncock
Laci Dawn Johncock is a Physical Therapy Assistant in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
2786 56th StWyoming, MI 49418
Phone: (616) 261-3960
Fax: (616) 261-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5502003277 (MI) |
|---|
Record details
| NPI number | 1972989655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 5, 2015 |
| Last updated in NPPES | August 5, 2015 |
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Eric Gies
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Mrs. Darcie Lynne Owen
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