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Individual

ARIANNE R STUCKMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
133 W CASCADE DR, COLUMBIA, IL 62236-1101
(772) 559-7010
Mailing address
133 W CASCADE DR, COLUMBIA, IL 62236-1101
(772) 559-7010

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009963
CT
225100000X
Physical Therapist
Primary
070025311
IL
225100000X
Physical Therapist
PT21075
FL
225100000X
Physical Therapist

Other

Enumeration date
02/06/2007
Last updated
06/08/2021
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