Stacy J Vail, PTA

NPI #1134794712 in Pana, Illinois

Provider Information

NPI Number: 1134794712
Entity Type: Individual
Name: Stacy J Vail, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 25, 2021
Last Updated: May 25, 2021

Practice Location

Address: 101 E 9TH ST
City: Pana
State: Illinois
ZIP Code: 62557-1716
Phone: (217) 562-6328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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