Individual
STACI ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 GEORGIANN DR, SAINT CLAIRSVILLE, OH 43950-1652
(740) 213-4147
Mailing address
210 GEORGIANN DR, SAINT CLAIRSVILLE, OH 43950-1652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002068
WV
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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