Individual
MRS. CHRISTIE L STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1125 MADISON, JEFFERSON CITY, MO 65102-1128
(573) 632-5621
Mailing address
406 N. BELLE AVE., BOX 557, BELLE, MO 65013
(573) 859-6359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00765
MO
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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