Individual
MRS. DESTINY STALVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4758 STUBBS LN, HAHIRA, GA 31632-1822
(229) 563-0013
Mailing address
4758 STUBBS LN, HAHIRA, GA 31632-1822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004412
GA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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