Lacey Anne Stalder

NPI #1982072039 in Jber, Alaska

Provider Information

NPI Number
1982072039
Entity Type
Individual
Name
Lacey Anne Stalder
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Sep 7, 2015
Last Updated
Sep 7, 2015

Practice Location

Address
5993 COHO ST
Address 2
UNIT C
City
Jber
State
Alaska
ZIP Code
99506-3605
Phone
(231) 557-1240

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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