| NPI | 1295719847 |
|---|---|
| Former Name | STACI A BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005465) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008671A) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2012-02-14 |