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1104446178
SPENCER STACK
ALLENTOWN, PA
NPI
1104446178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: PA OC009176)
Enumeration Date
2020-04-20
Last Update Date
2020-04-20
Business Address
SPENCER STACK MOTR/L
1627 CHEW ST
ALLENTOWN, PA 18102-3648
Phone number: 610-969-2403
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Mailing Address
SPENCER STACK MOTR/L
5646 COVENANT CT
ALLENTOWN, PA 18106-8727
Phone number: 610-390-9642
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