Stacey M Revak, PT

NPI #1215918453 in Canfield, Ohio

Provider Information

NPI Number: 1215918453
Entity Type: Individual
Name: Stacey M Revak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 5, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 3335 DARBYSHIRE DR
City: Canfield
State: Ohio
ZIP Code: 44406-9232
Phone: (330) 793-7234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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