Individual
STACEY BROOKE SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1013 S WELLS ST, EDNA, TX 77957-4045
(361) 782-7898
(361) 782-6317
Mailing address
PO BOX 3666, VICTORIA, TX 77903-3666
(361) 782-7898
(361) 782-6317
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1264605
TX
Other
Enumeration date
08/17/2015
Last updated
06/06/2025
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