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1063731321
STACIE LYNN RUNYAN
LOUISVILLE, KY
NPI
1063731321
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Former Name
STACIE LYNN GELLNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY PT005578)
Enumeration Date
2010-05-26
Last Update Date
2012-03-05
Business Address
-- STACIE LYNN RUNYAN DPT
4600 BOWLING BLVD
LOUISVILLE, KY 40207-5155
Phone number: 502-895-7887
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Mailing Address
-- STACIE LYNN RUNYAN DPT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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