Individual
STACI HARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2125 ROYCE ST, PORTSMOUTH, OH 45662-4714
(740) 354-8634
Mailing address
1068 MORRIS LANE BLUE RUN RD, LUCASVILLE, OH 45648-8039
(740) 285-4277
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05235
OH
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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