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Individual
STACY MARIE STIBB
Active
Individual
STACY MARIE STIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036172318
IL
208100000X
Physical Medicine & Rehabilitation Physician
OS12718
FL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
036.172318
IL
2081P0010X
Pediatric Rehabilitation Medicine Physician
66532
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
OS12718
FL
Other
Enumeration date
02/12/2009
Last updated
07/17/2026
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