STACI LARSEN

CLIVE, IA
NPI1679926190
Former NameSTACI GILLUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  082743)
Enumeration Date2016-07-20
Last Update Date2018-04-23
Business Address
STACI LARSEN DPT
1601 NW 114TH ST STE 155
CLIVE, IA 50325-7046
Phone number: 515-222-7350
Mailing Address
STACI LARSEN DPT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-222-7350
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