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1750719530
STEPHANIE THOMAS WALCOTT
BROOKLYN, NY
NPI
1750719530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 004786)
Enumeration Date
2013-10-14
Last Update Date
2013-10-14
Business Address
-- STEPHANIE THOMAS WALCOTT
2133 RALPH AVE
BROOKLYN, NY 11234-5405
Phone number: 718-451-1400
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Mailing Address
-- STEPHANIE THOMAS WALCOTT
31 NEW DORP LN
STATEN ISLAND, NY 10306-2351
Phone number: 718-370-3500
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