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Individual
MRS. STEPHANIE DE SHANO WAKEMAN
Active
Individual
MRS. STEPHANIE DE SHANO WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10037
SC
225100000X
Physical Therapist
27835
MD
225100000X
Physical Therapist
Primary
35468
FL
225100000X
Physical Therapist
40QA01013200
NJ
Other
Enumeration date
04/16/2007
Last updated
06/07/2021
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