Stacie Periclos
Physical Therapist - Pediatrics
13801 E Benson Hwy
Vail
, Arizona 85641-9074
Stacie Periclos
Physical Therapist - Pediatrics
13801 E Benson Hwy
Vail
, Arizona 85641-9074
(520) 879-2052
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Stacie Periclos
- 13801 E Benson Hwy
- Vail, AZ
- Zip : 85641-9074
- Phone : (520) 879-2052
Second Address
- Stacie Periclos
- 13801 E Benson Hwy
- Vail, AZ
- Zip : 85641-9074
- Phone : (520) 879-2052
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Where did Stacie Periclos attend graduate school?
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Where did Stacie Periclos do her fellowship?
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What type of doctor is Stacie Periclos
In what state does Stacie Periclos practice in?
Where is Stacie Periclos ’s practice located?
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Is Stacie Periclos a sole practitioner?
Is Stacie Periclos accepting new patients?
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Does Stacie Periclos offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 2957 | AZ |
National Provider Identifier
| NPI | 1013359611 |
|---|---|
| Provider Name | Stacie Periclos |
| First Address | Vail, AZ 85641-9074 |
| Second Address | Vail, AZ 85641-9074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2013 |
| Last Update Date | 23/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1952438368 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.