Stacy Mack, PTA
NPI #1205035789 in East Liberty, Ohio
Provider Information
- NPI Number
- 1205035789
- Entity Type
- Individual
- Name
- Stacy Mack, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- 11000 STATE ROUTE 347
- City
- East Liberty
- State
- Ohio
- ZIP Code
- 43319-9470
- Phone
- (937) 578-0598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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