STACY L HOLDER

SOUTHAVEN, MS
NPI1649554890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4995)
Enumeration Date2011-10-06
Last Update Date2011-10-06
Business Address
-- STACY L HOLDER PTA09
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
Mailing Address
-- STACY L HOLDER PTA09
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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