Stacey Case, PTA, CLT

NPI #1144622879 in Wylie, Texas

Provider Information

NPI Number: 1144622879
Entity Type: Individual
Name: Stacey Case, PTA, CLT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA, CLT
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 600 COOPER DR
Address 2: 130
City: Wylie
State: Texas
ZIP Code: 75098-3910
Phone: (972) 442-6525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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