Individual provider · Type 1 NPI

Stacie Periclos, P.T.

Pediatric Physical Therapist · Vail, AZ

NPI number 1013359611 Active

Practice location

13801 E Benson Hwy
Vail, AZ 85641-9074

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X2957 (AZ)

Pediatric Physical Therapist: 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 th…

25 other providers at this address

About NPI 1013359611

Stacie Periclos, P.T.'s National Provider Identifier is 1013359611, issued on Jul 23, 2013. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Vail, AZ. The record was last updated on Jul 23, 2013.