Stacy Bequette

NPI #1134698871 in Imperial, Missouri

Provider Information

NPI Number
1134698871
Entity Type
Individual
Name
Stacy Bequette
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Nov 23, 2018
Last Updated
Nov 23, 2018

Practice Location

Address
1817 SPOTTED OWL DR
ZIP Code
63052-4402
Phone
(573) 465-6038

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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