MRS. Stacy Dawn Lord, CPTA

NPI #1700074168 in Pittsburg, Kansas

Provider Information

NPI Number
1700074168
Entity Type
Individual
Name
MRS. Stacy Dawn Lord, CPTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
CPTA
Enumeration Date
Oct 11, 2007
Last Updated
Oct 11, 2007

Practice Location

Address
140 HUNTINGTON CIR
State
Kansas
ZIP Code
66762-6864
Phone
(620) 308-6025

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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