Stacey Raulerson PTA

NPI 1730272162 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1730272162
Gender Female
Enumeration Date 09/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
540 KINGSLEY AVE
ORANGE PARK FL, 32073-4847, US
Phone (904) 264-2156
Fax
Business Location
16161 NW 208TH WAY
HIGH SPRINGS FL, 32643-6895, US
Phone (386) 454-9324
Fax
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA16034
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According to our database, Stacey Raulerson PTA NPI is 1730272162, taxonomy code is 225200000X and license number is PTA16034, license state is located at Florida. Stacey Raulerson PTA physically located at 540 Kingsley Ave, Orange Park FL, 32073-4847. NPI Number Stacey Raulerson PTA has the Individual type.

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1730272162 NPI number is provided on an as is basis without warranty of any kind. 1730272162 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Raulerson PTA are for informational purposes only.