Individual
MRS. STACY LEE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
200 HOSPITAL DR, STE. 400, GLEN BURNIE, MD 21061-5884
(410) 760-0093
(410) 766-4668
Mailing address
322 WELLHAM AVE, GLEN BURNIE, MD 21061-2154
(410) 760-6121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1704
MD
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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