MR. Gerald Dwayne Stakely JR., PTA
NPI #1952895617 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1952895617
- Entity Type
- Individual
- Name
- MR. Gerald Dwayne Stakely JR., PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 17, 2018
- Last Updated
- Jun 17, 2018
Practice Location
- Address
- 162 DEACON WAY
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-5183
- Phone
- (336) 480-8368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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