MRS. Stacey Marie Boster, MS,PT

NPI #1053319715 in Russellville, Arkansas

Provider Information

NPI Number
1053319715
Entity Type
Individual
Name
MRS. Stacey Marie Boster, MS,PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MS,PT
Enumeration Date
Jul 7, 2005
Last Updated
Sep 28, 2011

Practice Location

Address
3016 W. MAIN STREET
Address 2
SUITE 200
ZIP Code
72801
Phone
(479) 967-9657

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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