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Individual
MRS. STACY RACHELLE PRITCHARD
Active
Individual
MRS. STACY RACHELLE PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4432
MS
2251P0200X
Pediatric Physical Therapist
Primary
8141
TN
2251X0800X
Orthopedic Physical Therapist
8141
TN
Other
Enumeration date
07/21/2008
Last updated
12/01/2008
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