STACI ELMER

KENOVA, WV
NPI1508528050
Former NameSTACI BARADA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  001901)
Enumeration Date2021-10-12
Last Update Date2021-10-12
Business Address
STACI ELMER PTA
907 OAK ST
KENOVA, WV 25530-1422
Phone number: 304-525-4460
Mailing Address
STACI ELMER PTA
2240 5TH AVE
HUNTINGTON, WV 25703-1239
Phone number: 304-525-4445
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