Stacie Nacole Anderson PT

NPI 1477738771 - Physical Therapist - 225100000X

NPI Details
NPI 1477738771
Gender Female
Enumeration Date 01/04/2008
Last Updated 01/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
8125 SOUTHERN PINE WAY
FORT WORTH TX, 76123-2084, US
Phone (817) 845-7720
Fax
Business Location
8125 SOUTHERN PINE WAY
FORT WORTH TX, 76123-2084, US
Phone (817) 845-7720
Fax
Toxanomy
Taxonomy Code 225100000X
License State Texas
License Number 1166818
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According to our database, Stacie Nacole Anderson PT NPI is 1477738771, taxonomy code is 225100000X and license number is 1166818, license state is located at Texas. Stacie Nacole Anderson PT physically located at 8125 Southern Pine Way, Fort Worth TX, 76123-2084. NPI Number Stacie Nacole Anderson PT has the Individual type.

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1477738771 NPI number is provided on an as is basis without warranty of any kind. 1477738771 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Nacole Anderson PT are for informational purposes only.