Stacey L Hart, P.T.A.

NPI #1548511777 in Maple Valley, Washington

Provider Information

NPI Number: 1548511777
Entity Type: Individual
Name: Stacey L Hart, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: P.T.A.
Enumeration Date: Sep 27, 2012
Last Updated: Sep 27, 2012

Practice Location

Address: 24216 WITTE RD SE
City: Maple Valley
State: Washington
ZIP Code: 98038-6827
Phone: (425) 433-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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