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Individual
STACEY JOYCE CHURCHILL
Active
Individual
STACEY JOYCE CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11349
NC
225100000X
Physical Therapist
Primary
PT26441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068VV
BCBS OF NC
NC
05
—
7212335
—
NC
Enumeration date
01/08/2008
Last updated
09/30/2013
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