MS. Stacy Leonard, MSPT

NPI #1386777696 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1386777696
Entity Type: Individual
Name: MS. Stacy Leonard, MSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSPT
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3450 W 34TH AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-5508
Phone: (870) 534-7392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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