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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 - Phone
- (816) 741-5105
Quick Facts
- NPI
- 1033462114
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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