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1609653146
SAMUEL TODD STAINBACK
VIRGINIA BEACH, VA
NPI
1609653146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306605714)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
SAMUEL TODD STAINBACK LPTA
5604 VIRGINIA BEACH BLVD
VIRGINIA BEACH, VA 23462-5631
Phone number: 757-455-5000
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Mailing Address
SAMUEL TODD STAINBACK LPTA
801 PONCE CT
CHESAPEAKE, VA 23322-6897
Phone number: 757-376-3947
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