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1205057858
STACI CATHY-SUE ROBERTS
PORT ORANGE, FL
NPI
1205057858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20841)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Miss STACI CATHY-SUE ROBERTS PTA
1525 HERBERT ST
PORT ORANGE, FL 32129
Phone number: 386-756-0424
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Mailing Address
Miss STACI CATHY-SUE ROBERTS PTA
11300 NW 90 AVE
REDDICK, FL 32686
Phone number: 352-622-2570
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