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Individual

STACI MOELLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 WAYMONT CT, LAKE MARY, FL 32746-3412
(407) 323-0399
Mailing address
2326 FIELDINGWOOD RD, MAITLAND, FL 32751-3659

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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