Individual
STACEY ANN MAIGNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
514 MISTY WILLOW WAY, ROLESVILLE, NC 27571-9365
(513) 404-1897
Mailing address
514 MISTY WILLOW WAY, ROLESVILLE, NC 27571-9365
(513) 404-1897
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
P12417
NC
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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