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Stacie Periclos, PT
Pediatric Physical Therapist in Vail, Arizona
NPI 1013359611

Stacie Periclos is a Pediatric Physical Therapist based in Vail, AZ and is specialized in Pediatrics. Stacie Periclos practices in Vail, AZ and has the professional credentials of PT. The NPI Number for Stacie Periclos is 1013359611 and holds a License No. 2957 (Arizona).

The current practice location address for Stacie Periclos is 13801 E Benson Hwy, Vail, AZ and can be reached out via phone at 520-879-2052.

Location: 13801 E Benson Hwy, Vail, AZ, 85641-9074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013359611
Provider Name
Stacie Periclos
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
13801 E Benson Hwy, Vail, AZ, 85641-9074
Phone Number
520-879-2052
Fax Number
Provider Enumeration Date
07/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952438368 05 AZ
institution
Provider Business Practice Location Address Details
Address
13801 E Benson Hwy
City
Vail
State
Arizona
Zip
85641-9074
Phone Number
520-879-2052
Fax Number
person
Provider Business Mailing Address Details
Address
13801 E Benson Hwy
City
Vail
State
Arizona
Zip
85641-9074
Phone Number
520-879-2052
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
2957 (Arizona)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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