Individual
STACY GANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1501 CASHO MILL RD, NEWARK, DE 19711-3500
(302) 453-1588
(302) 453-9705
Mailing address
28 WELLSPRING DR, BEAR, DE 19701-1358
(302) 453-1588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001584
DE
Other
Enumeration date
07/11/2006
Last updated
12/14/2007
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