Individual
MRS. STACY DAWN LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
140 HUNTINGTON CIR, PITTSBURG, KS 66762-6864
(620) 308-6025
Mailing address
140 HUNTINGTON CIR, PITTSBURG, KS 66762-6864
(620) 308-6025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01074
KS
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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