Individual
STACY A. BIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8936 SOUTHPOINTE DR, SUITE A-1, INDIANAPOLIS, IN 46227-7507
(317) 888-3838
(317) 888-3838
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007138A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334938
ANTHEM ID
IN
05
—
200485020
—
IN
Enumeration date
03/02/2006
Last updated
10/03/2016
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