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1801188750
STACY SMITH WAGNER
NEW HAVEN, CT
NPI
1801188750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 9052)
Enumeration Date
2011-05-11
Last Update Date
2023-12-18
Business Address
STACY SMITH WAGNER MPT
1481 CHAPEL ST
NEW HAVEN, CT 06511
Phone number: 203-776-9110
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Mailing Address
STACY SMITH WAGNER MPT
1481 CHAPEL ST
NEW HAVEN, CT 06511-4305
Phone number: 203-776-9110
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