MRS. Jaclyn Leigh Stahl, PTA

NPI #1467832089 in Lake Bluff, Illinois

Provider Information

NPI Number: 1467832089
Entity Type: Individual
Name: MRS. Jaclyn Leigh Stahl, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 9, 2015
Last Updated: Jan 11, 2018

Practice Location

Address: 101 WAUKEGAN RD STE 1100
City: Lake Bluff
State: Illinois
ZIP Code: 60044-3012
Phone: (847) 247-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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