MS. STACIE DE L'ETOILE

Physical Therapist

Active Individual
NPI: 1477865095

Practice Address

10506 MEDFORD LAKE DR
Riverview, FL 33578

Phone: (813) 252-0180

Specialties

Specialty Code Primary License
Physical Therapist - Pediatrics 2251P0200X No PT25642 ()
Physical Therapist 225100000X Yes PT25642 (FL)
Developmental Therapist 222Q00000X No PT25642 (FL)

Frequently Asked Questions

NPI 1477865095 is the National Provider Identifier for MS. STACIE DE L'ETOILE, a Physical Therapist provider located in Riverview, FL. This NPI was enumerated on July 12, 2010.
MS. STACIE DE L'ETOILE practices at 10506 MEDFORD LAKE DR, Riverview, FL 33578.

Quick Facts

NPI
1477865095
Type
Individual
Enumerated
Jul 12, 2010
Last Updated
Oct 14, 2024

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