STEPHEN J BACIAK

FORT CAMPBELL, KY
NPI1326316001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 26233)
Enumeration Date2011-12-08
Last Update Date2016-08-21
Business Address
Dr. STEPHEN J BACIAK DPT
650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Phone number: 555-321-4567
Mailing Address
Dr. STEPHEN J BACIAK DPT
650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Phone number:
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