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1013373372
STACY POWELL
VIRGINIA BEACH, VA
NPI
1013373372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603911)
Enumeration Date
2016-01-01
Last Update Date
2016-01-01
Business Address
-- STACY POWELL LPTA
5604 VIRGINIA BEACH BLVD SUITE 101
VIRGINIA BEACH, VA 23462-5631
Phone number: 804-712-3518
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Mailing Address
-- STACY POWELL LPTA
5604 VIRGINIA BEACH BLVD SUITE 101
VIRGINIA BEACH, VA 23462-5631
Phone number: 804-712-3518
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