Individual
STACY PIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E MCDOWELL RD FL 11, PHOENIX, AZ 85006-2612
(480) 564-4100
Mailing address
4728 N 15TH ST APT 158, PHOENIX, AZ 85014-3724
(480) 516-8419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008923
AZ
225200000X
Physical Therapy Assistant
PTA-636-0
HI
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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