Individual
STACY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 STRODE AVE, COATESVILLE, PA 19320-2874
(717) 917-8785
Mailing address
300 STRODE AVE, COATESVILLE, PA 19320-2874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000617
PA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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