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1306310149
STACY SPENCER
ALEXANDRIA, VA
NPI
1306310149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DC PTA000186)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
STACY SPENCER PTA
402 ORONOCO ST
ALEXANDRIA, VA 22314-2324
Phone number: 217-778-0359
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Mailing Address
STACY SPENCER PTA
402 ORONOCO ST
ALEXANDRIA, VA 22314-2324
Phone number:
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