Individual
DEBORAH MARIE STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1514 HIGH AVE W, OSKALOOSA, IA 52577-1944
(641) 673-7032
Mailing address
109 W 1ST ST, PELLA, IA 50219-2113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
086700
IA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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