Individual
MRS. STACY L WARDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
THE SMITH CLINIC FOR PHYSICAL THERAPY, 7037 HACKS CROSS ROAD, OLIVE BRANCH, MS 38654
(662) 890-7660
(662) 890-7661
Mailing address
THE SMITH CLINIC FOR PHYSICAL THERAPY, 7037 HACKS CROSS ROAD, OLIVE BRANCH, MS 38654
(662) 890-7660
(662) 890-7661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6079
TN
225100000X
Physical Therapist
Primary
PT3627
MS
Other
Enumeration date
06/16/2005
Last updated
07/09/2007
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