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STACI ELMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
907 OAK ST, KENOVA, WV 25530-1422
(304) 525-4460
(304) 529-7449
Mailing address
2240 5TH AVE, HUNTINGTON, WV 25703-1239
(304) 525-4445
(304) 529-7449

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001901
WV

Other

Enumeration date
10/12/2021
Last updated
10/12/2021
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