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Individual

CRISSI L STUCKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
303 WEST LEGGETT STREET, WAUSEON, OH 43567
(419) 337-3050
(419) 337-3212
Mailing address
303 WEST LEGGETT STREET, WAUSEON, OH 43567
(419) 337-3050
(419) 337-3212

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015789
MI
225100000X
Physical Therapist
PT5779
FL
225100000X
Physical Therapist
PT9767
OH

Other

Enumeration date
08/18/2009
Last updated
02/03/2012
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