LACI STIVISON, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1033760350
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | PTA.011722 (OH) |
Frequently Asked Questions
NPI 1033760350 is the National Provider Identifier for LACI STIVISON, PTA, a Physical Therapy Assistant provider located in Logan, OH. This NPI was enumerated on September 27, 2019.
LACI STIVISON, PTA practices at 16459 ANGLE RD, Logan, OH 43138.
Quick Facts
- NPI
- 1033760350
- Type
- Individual
- Enumerated
- Sep 27, 2019
- Last Updated
- Sep 27, 2019
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