Individual
MRS. STACIE LYNN WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17028 CADBURY CIR, LEWES, DE 19958-7022
(302) 645-6400
Mailing address
17028 CADBURY CIR, LEWES, DE 19958-7022
(302) 645-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000465
DE
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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