MRS. Stacy Lynn Cannariato, PT

NPI #1689954323 in Greendale, Wisconsin

Provider Information

NPI Number: 1689954323
Entity Type: Individual
Name: MRS. Stacy Lynn Cannariato, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 5700 MOCKINGBIRD LN
City: Greendale
State: Wisconsin
ZIP Code: 53129-1442
Phone: (414) 423-1399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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