STACIE NICOLE STREET

KENNETT SQUARE, PA
NPI1508106667
Former NameSTACIE NICOLE BAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000766)
Enumeration Date2013-02-26
Last Update Date2013-02-26
Business Address
Mrs. STACIE NICOLE STREET
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 610-444-6350
Mailing Address
Mrs. STACIE NICOLE STREET
31199 WILSON MYRTLE DR
MILLSBORO, DE 19966-4638
Phone number: 302-381-9354
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