Stacy Ferguson, PTA, AA

NPI #1417930199 in Connell, Washington

Provider Information

NPI Number
1417930199
Entity Type
Individual
Name
Stacy Ferguson, PTA, AA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA, AA
Enumeration Date
Nov 28, 2005
Last Updated
Jan 18, 2013

Practice Location

Address
1100 W CLARK RD
ZIP Code
99326-9700
Phone
(509) 234-2021

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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