STACEY RAULERSON

ORANGE PARK, FL
NPI1730272162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA16034)
Enumeration Date2006-09-30
Last Update Date2007-07-08
Business Address
STACEY RAULERSON PTA
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
Mailing Address
STACEY RAULERSON PTA
16161 NW 208TH WAY
HIGH SPRINGS, FL 32643-6895
Phone number: 386-454-9324