Individual
JULIE MARIE STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 BUFFALO ST, CORPUS CHRISTI, TX 78401-1933
(888) 364-9695
Mailing address
109 SUN HARBOR ST, ROCKPORT, TX 78382-7787
(832) 451-0141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2158519
TX
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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