Individual
MS. STACEY MARIE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 HILLCREST PKWY STE 250, CHESAPEAKE, VA 23322-2492
(757) 512-5639
Mailing address
1809 COLLEEN CT, VIRGINIA BEACH, VA 23464-6566
(757) 512-5639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604136
VA
Other
Enumeration date
12/16/2025
Last updated
12/22/2025
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