Individual
DR. HALEY LYNN STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
602 ROUTE 72 E, MANAHAWKIN, NJ 08050-3538
(609) 549-5015
Mailing address
65 OXYCOCUS RD, MANAHAWKIN, NJ 08050-2939
(609) 548-2016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01992400
NJ
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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