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Individual
DR. STACIE R SEGEBART
Active
Individual
DR. STACIE R SEGEBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5358
AZ
2251X0800X
Orthopedic Physical Therapist
PT291463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837974
—
AZ
Enumeration date
11/27/2005
Last updated
10/05/2017
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