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
- City
- Connell
- State
- Washington
- ZIP Code
- 99326-9700
- Phone
- (509) 234-2021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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