Individual
STACY OVERSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 MARK DANIELS CIR, OCEAN SPRINGS, MS 39564-9734
(954) 895-2526
(954) 895-2526
Mailing address
111 MARK DANIELS CIR, OCEAN SPRINGS, MS 39564-9734
(954) 895-2526
(954) 895-2526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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