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1669728267
STACEY WINE
SAN ANTONIO, TX
NPI
1669728267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1201100)
Enumeration Date
2012-08-01
Last Update Date
2023-05-04
Business Address
STACEY WINE PT, DPT
2203 BABCOCK RD
SAN ANTONIO, TX 78229-4412
Phone number: 210-614-3911
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Mailing Address
STACEY WINE PT, DPT
4600 LOCKHILL SELMA RD STE 101
SAN ANTONIO, TX 78249-2186
Phone number: 210-408-7300
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