Individual
STACY M LADWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
620 N DIERS AVE, SUITE 300, GRAND ISLAND, NE 68803-4984
(308) 382-0344
(308) 382-3241
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 382-0344
(308) 382-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2871
NE
Other
Enumeration date
07/07/2010
Last updated
11/21/2013
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