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Individual

STACEY HARWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10270 E STATE ROAD 47, SHERIDAN, IN 46069-8804
(317) 758-0331
Mailing address
10270 E STATE ROAD 47, SHERIDAN, IN 46069-8804
(317) 758-0331

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001911A
IN

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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