Foley, Stacey Sara

Foley, Stacey Sara is an individual health care provider with primary practice located at 1348 S 18Th St Ste 320A , Fernandina Beach FL 32034-4785. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Foley, Stacey Sara can be contacted via phone (904) 557-9021.

Contact Information

Primary practice address
1348 S 18Th St Ste 320A Fernandina Beach FL 32034-4785
Phone: (904) 557-9021
Fax: (904) 557-9022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5866 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT28095 Florida

Profile Details

NPI number 1598006421
LBN Legal business name Foley, Stacey Sara
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated Nov 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598006421 NPPES
Oklahoma MEDICAID 200906370A

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