MS. Stacie De L'Etoile
MS. Stacie De L'Etoile is a Pediatric Physical Therapist in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
10506 Medford Lake DrRiverview, FL 33578-0038
Phone: (813) 252-0180
Fax: (813) 489-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT25642 (FL) |
|---|---|
| Pediatric Physical Therapist | Taxonomy 2251P0200X · Licence PT25642 |
| Developmental Therapist | Taxonomy 222Q00000X · Licence PT25642 (FL) |
Record details
| NPI number | 1477865095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 12, 2010 |
| Last updated in NPPES | October 14, 2024 |
| Certification date | October 14, 2024 |
Other providers in Riverview
-
Jennifer A. Leigh, MS Ccc-Slp, Inc
7243 US Highway 301 S Ste A, Riverview, FL 33578-8399 · (813) 663-9828