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Individual
STEPHANIE D SIPALA
Active
Individual
STEPHANIE D SIPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01247600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113275DBD
MEDICARE PTAN
—
Enumeration date
07/25/2007
Last updated
11/18/2015
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