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1992177877
STACI FREDRICK
NORFOLK, VA
NPI
1992177877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602868)
Enumeration Date
2015-10-30
Last Update Date
2015-10-30
Business Address
-- STACI FREDRICK LPTA
1309 KEMPSVILLE RD
NORFOLK, VA 23502-2205
Phone number: 757-461-5001
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Mailing Address
-- STACI FREDRICK LPTA
1309 KEMPSVILLE RD
NORFOLK, VA 23502-2205
Phone number: 757-461-5001
Copy
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