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1174981435
DONNA STACK
WILMINGTON, DE
NPI
1174981435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: DE J1-0003428)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- DONNA STACK PT
4709 KIRKWOOD HWY
WILMINGTON, DE 19808-5007
Phone number: 302-998-9880
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Mailing Address
-- DONNA STACK PT
119 PROFESSIONAL CTR 1265 WAYNE AVENUE, SUITE 308
INDIANA, PA 15701-3586
Phone number: 724-801-8095
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