Stacy Lynn Pettry

NPI #1952908824 in Verona, Virginia

Provider Information

NPI Number: 1952908824
Entity Type: Individual
Name: Stacy Lynn Pettry
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 5, 2020
Last Updated: Feb 28, 2021

Practice Location

Address: 242 BALD ROCK RD
City: Verona
State: Virginia
ZIP Code: 24482-2825
Phone: (972) 849-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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