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1780250332
STACY M WALTERS
TAMPA, FL
NPI
1780250332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 24314)
Enumeration Date
2021-06-02
Last Update Date
2021-06-25
Business Address
STACY M WALTERS
15002 HUTCHISON RD
TAMPA, FL 33625-5509
Phone number: 813-969-1969
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Mailing Address
STACY M WALTERS
13150 ROYAL PINES AVE
RIVERVIEW, FL 33579-9321
Phone number: 419-271-3613
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