KIRSTEN STACY

JOHNSON CITY, TN
NPI1306450036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  6680)
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
KIRSTEN STACY
2214 E FAIRVIEW AVE
JOHNSON CITY, TN 37601-2860
Phone number: 423-928-6464
Mailing Address
KIRSTEN STACY
PO BOX 191
JOHNSON CITY, TN 37605-0191
Phone number: 423-928-6464
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