Individual
STACEY CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
600 COOPER DR, 130, WYLIE, TX 75098-3910
(972) 442-6525
(972) 442-6543
Mailing address
600 COOPER DR, 130, WYLIE, TX 75098-3910
(972) 442-6525
(972) 442-6543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089351
TX
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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