Individual
STACY ELIZABETH JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5031
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5031
PT LICENSE
AR
Enumeration date
08/18/2021
Last updated
08/18/2021
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