location
search-icon
person
Mrs. Stacee Vickers, PT
Pediatric Physical Therapist in Lawrenceville, Georgia
NPI 1386711067

Stacee Vickers is a Pediatric Physical Therapist based in Lawrenceville, GA and is specialized in Pediatrics. Stacee Vickers practices in Lawrenceville, GA and has the professional credentials of PT. The NPI Number for Stacee Vickers is 1386711067 and holds a License No. 004817 (Georgia).

The current practice location address for Stacee Vickers is 318 W Pike St, Lawrenceville, GA and can be reached out via phone at 678-377-2833 and via fax at 678-377-2882.

Location: 318 W Pike St, Lawrenceville, GA, 30043-7225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386711067
Provider Name
Stacee Vickers
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
318 W Pike St, Lawrenceville, GA, 30043-7225
Phone Number
678-377-2833
Fax Number
678-377-2882
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
307933 01 GA WELLCARE PROVIDER #
00776993D 05 GA
10037646 01 GA AMERIGROUP PROVIDER #
institution
Provider Business Practice Location Address Details
Address
318 W Pike St
City
Lawrenceville
State
Georgia
Zip
30045-3234
Phone Number
678-377-2833
Fax Number
678-377-2882
person
Provider Business Mailing Address Details
Address
318 W Pike St
City
Lawrenceville
State
Georgia
Zip
30045-3234
Phone Number
678-377-2833
Fax Number
678-377-2882
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
004817 (Georgia)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.