Judith Stayback
Judith Stayback is a Physical Therapy Assistant in South Bend, Indiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
53940 Carmichael DrSouth Bend, IN 46635-1564
Phone: (574) 335-6212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1336755180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | September 17, 2020 |
| Certification date | September 17, 2020 |
| Mailing address | 53940 Carmichael Dr, South Bend, IN 46635-1564 |
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