Stacey O Creps, PT

NPI #1992799936 in Maumee, Ohio

Provider Information

NPI Number: 1992799936
Entity Type: Individual
Name: Stacey O Creps, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 6, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1560 HENTHORNE DR
City: Maumee
State: Ohio
ZIP Code: 43537-1371
Phone: (419) 866-5196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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