Individual
NICOLE M STAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 SOUTHWEST DR, SEDONA, AZ 86336-3723
(928) 282-5050
(928) 282-5945
Mailing address
55 SOUTHWEST DR, SEDONA, AZ 86336-3723
(928) 282-5050
(928) 282-5945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
11/10/2014
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