Individual
STACY M TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Mailing address
1288 S GOVERNORS AVE, DOVER, DE 19904-4802
(302) 677-0100
(302) 677-0267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001870
DE
2251G0304X
Geriatric Physical Therapist
J10001870
DE
2251S0007X
Sports Physical Therapist
J10001870
DE
2251X0800X
Orthopedic Physical Therapist
J10001870
DE
2255A2300X
Athletic Trainer
J3-0000171
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2623564000
AMERIHEALTH
DE
01
—
P00284460
RAILROAD MEDICARE
DE
Enumeration date
04/17/2006
Last updated
11/26/2007
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