Individual
KAY STASTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14044 W CAMELBACK RD, LITCHFIELD PARK, AZ 85340-9428
(623) 975-8400
Mailing address
2243 W FARIA LN, PHOENIX, AZ 85023-7277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8962A
AZ
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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