Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 4299 | OH |
NPI | 1194946541 |
---|---|
Provider Name | Mrs. Marcia Holmes Stalvey |
First Address | Kent, OH 44240-1895 |
Second Address | Akron, OH 44312-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |