Individual
STACY LYNN AARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
57 LANE 4, WARWICK, RI 02888-5611
(401) 654-7019
Mailing address
57 LANE 4, WARWICK, RI 02888-5611
(401) 654-7019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00756
RI
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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