| NPI | 1912377961 |
|---|---|
| Other Name | STACY STUART TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 6049) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 6049) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-04-15 |