STACY DAWN LORD

PITTSBURG, KS
NPI1700074168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-01074)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
Mrs. STACY DAWN LORD CPTA
140 HUNTINGTON CIR
PITTSBURG, KS 66762-6864
Phone number: 620-308-6025
Mailing Address
Mrs. STACY DAWN LORD CPTA
140 HUNTINGTON CIR
PITTSBURG, KS 66762-6864
Phone number: 620-308-6025