Stacy Mosbrucker, PTA

NPI #1811347677 in Corvallis, Oregon

Provider Information

NPI Number: 1811347677
Entity Type: Individual
Name: Stacy Mosbrucker, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 13, 2016
Last Updated: Jun 13, 2016

Practice Location

Address: 3580 NW SAMARITAN DR
City: Corvallis
State: Oregon
ZIP Code: 97330-3766
Phone: (541) 768-5157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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