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Individual
STACY WEIBLE
Active
Individual
STACY WEIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.014269
OH
2255A2300X
Athletic Trainer
AT. 003217
OH
Other
Enumeration date
02/22/2010
Last updated
05/23/2013
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