Cruse, Stacey Lynn

Cruse, Stacey Lynn is an individual health care provider with primary practice located at 9909 Medical Center Dr , Rockville MD 20850-6361. 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. Cruse, Stacey Lynn can be contacted via phone (240) 864-6200.

Contact Information

Primary practice address
9909 Medical Center Dr Rockville MD 20850-6361
Phone: (240) 864-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20861 Maryland

Profile Details

NPI number 1396788154
LBN Legal business name Cruse, Stacey Lynn
Credentials PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 3rd, 2011 - about 15 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 1396788154 NPPES
Maryland MEDICAID 40707550

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