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STACI ELMER PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1508528050
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
907 OAK ST, KENOVA, WV, 255301422
Phone
(304) 525-4460
Fax
(304) 529-7449

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WV #001901

All Addresses

MAILING

2240 5TH AVE

HUNTINGTON, WV, 257031239

(304) 525-4445

LOCATION

907 OAK ST

KENOVA, WV, 255301422

(304) 525-4460