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1407158256
STACEY WENCK
BALTIMORE, MD
NPI
1407158256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A3549)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
Mrs. STACEY WENCK PTA
9200 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-4458
Phone number: 443-391-2600
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Mailing Address
Mrs. STACEY WENCK PTA
738 ALDWORTH RD
DUNDALK, MD 21222-1304
Phone number: 443-503-5307
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