JACQUELINE MICHELLE STACY, PTA
Restorative Service Providers at 13 St, Mount Moriah, AR

License number
Arkansas PTA 2347
Category
Restorative Service Providers
Type
Physical Therapy Assistant
License number
Arkansas 4268
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
110 W 13Th St, Mount Moriah, AR 71958
PO Box 564, Tyronza, AR 72386
Phone
(870) 285-2168
(870) 514-9722
National Provider ID: 1144556259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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