STACIA WYNNE
Physical Therapy Assistant
Active
Individual
NPI: 1235401167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 2456 (MT) |
Frequently Asked Questions
NPI 1235401167 is the National Provider Identifier for STACIA WYNNE, a Physical Therapy Assistant provider located in Butte, MT. This NPI was enumerated on February 8, 2012.
STACIA WYNNE practices at 3131 AMHERST AVE, Butte, MT 59701.
Quick Facts
- NPI
- 1235401167
- Type
- Individual
- Enumerated
- Feb 8, 2012
- Last Updated
- Feb 8, 2012
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