STACIE CHAMBLISS

MOUNT VERNON, IL
NPI1780832253
Former NameSTACIE MINOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070016676)
Enumeration Date2008-09-08
Last Update Date2010-05-26
Business Address
-- STACIE CHAMBLISS PT
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-6262
Phone number: 618-242-3778
Mailing Address
-- STACIE CHAMBLISS PT
4121 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-6262
Phone number: 618-242-3778