Individual
DONNA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4709 KIRKWOOD HWY, WILMINGTON, DE 19808-5007
(302) 998-9880
(302) 998-7498
Mailing address
119 PROFESSIONAL CTR, 1265 WAYNE AVENUE, SUITE 308, INDIANA, PA 15701-3586
(724) 801-8095
(724) 801-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003428
DE
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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