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
ZIP Code
27028-5183
Phone
(336) 480-8368

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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