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Individual
MISS STACEY MARIE GLASSCOCK
Active
Individual
MISS STACEY MARIE GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1150252
TX
225100000X
Physical Therapist
17819
MA
225100000X
Physical Therapist
2005020337
MO
225100000X
Physical Therapist
PT00010020
WA
225100000X
Physical Therapist
Primary
PT018530
PA
225100000X
Physical Therapist
PT2719
HI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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