Individual
MRS. BARBARA JEAN STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31700 RAILROAD CANYON RD STE 1, CANYON LAKE, CA 92587-9453
(951) 246-2670
(951) 246-2672
Mailing address
31700 RAILROAD CANYON RD STE 1, CANYON LAKE, CA 92587-9453
(951) 246-2670
(951) 246-2672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 9115
CA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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