Individual provider · Type 1 NPI

Stacee Vickers, P.T.

Pediatric Physical Therapist · Lawrenceville, GA

NPI number 1386711067 Active

Practice location

318 W Pike St, Suite 104
Lawrenceville, GA 30045-3234

Call (678) 377-2833 Map

Fax (678) 377-2882

Mailing address

1092 Adah Ln
Lawrenceville, GA 30043-7225

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X004817 (GA)

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…

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About NPI 1386711067

Stacee Vickers, P.T.'s National Provider Identifier is 1386711067, issued on Nov 29, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 9, 2007.