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1265905566
THOMAS DAVID STACKPOOLE
DETROIT, MI
NPI
1265905566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501010246)
Enumeration Date
2019-01-09
Last Update Date
2021-03-23
Business Address
Mr. THOMAS DAVID STACKPOOLE PT
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number: 313-972-4140
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Mailing Address
Mr. THOMAS DAVID STACKPOOLE PT
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number: 313-972-4166
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