| NPI Details | |
|---|---|
| NPI | 1770599292 |
| Gender | Female |
| Enumeration Date | 08/01/2006 |
| Last Updated | 02/18/2011 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 2447 MERCER ST STONEBORO PA, 16153-2711, US |
|
| Phone | (724) 376-3666 |
| Fax | (724) 376-2460 |
| Business Location | |
|---|---|
| 3449 HADLEY RD HADLEY PA, 16130-2821, US |
|
| Phone | (724) 253-1044 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | Pennsylvania |
| License Number | PT06825 |
| Remove 1770599292 NPI Number | |
According to our database, Stacie Clark MPT NPI is 1770599292, taxonomy code is 225100000X and license number is PT06825, license state is located at Pennsylvania. Stacie Clark MPT physically located at 2447 Mercer St, Stoneboro PA, 16153-2711. NPI Number Stacie Clark MPT has the Individual type.
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1770599292 NPI number is provided on an as is basis without warranty of any kind. 1770599292 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Clark MPT are for informational purposes only.
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