Individual
STACEY CIRAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
676 BROOK HOLW, GAHANNA, OH 43230-6276
(614) 414-5437
Mailing address
78 ASPEN LN, PATASKALA, OH 43062-9002
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-010717
OH
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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