Individual
VANESSA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
Mailing address
272 HIGHLAND DR, LEBANON, VA 24266-4666
(276) 889-4090
(276) 889-4026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001256
VA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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