| NPI | 1932384013 |
|---|---|
| Former Name | STACEY JOYCE WESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26441) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11349) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-09-30 |