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1104171156
STACIA T BRYANT
OCEANPORT, NJ
NPI
1104171156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NJ 40QA00211000)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- STACIA T BRYANT Physical Therapist
14 BRIDGEWATERS DR STE A
OCEANPORT, NJ 07757-1184
Phone number: 732-542-6600
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Mailing Address
-- STACIA T BRYANT Physical Therapist
13 ORLA CT
TINTON FALLS, NJ 07724-4402
Phone number: 908-309-8241
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