Individual
STACY LYNN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1877 LAKE CENTER ST NW, UNIONTOWN, OH 44685-9467
(330) 265-3670
Mailing address
1877 LAKE CENTER ST NW, UNIONTOWN, OH 44685-9467
(330) 265-3670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1182
OH
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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