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STACEY JO RUSSELL PTA

PTA

Physical Therapy Assistant

NPI: 1033462114Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

001388(IA)2015030162(MO)

Contact & Hours

Address
4700 NW CLIFF VIEW DR
RIVERSIDE, MO 64150

Quick Facts

NPI
1033462114
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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