Individual
CLARA JAYNE STAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
50 MULBERRY TREE ST, CHARLES TOWN, WV 25414-1274
(304) 724-1101
Mailing address
3189 TABLER STATION RD, MARTINSBURG, WV 25403-5376
(724) 771-0502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002938
WV
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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