Stacy Dee Vescial, PTA
NPI #1174782403 in Centralia, Washington
Provider Information
- NPI Number
- 1174782403
- Entity Type
- Individual
- Name
- Stacy Dee Vescial, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Nov 15, 2013
Practice Location
- Address
- 1305 ALEXANDER ST
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-1305
- Phone
- (360) 736-2823
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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