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1063593010
MATTHEW STACY
LITTLE ROCK, AR
NPI
1063593010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT1782)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
MATTHEW STACY MSPT
9601 I 630 EXIT 7 BAPTIST HEALTH REHAB INSTITUTE
LITTLE ROCK, AR 72205-7299
Phone number: 501-202-7589
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Mailing Address
MATTHEW STACY MSPT
1914 U STREET
BENTON, AR 72015
Phone number: 501-580-9131
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