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Gerald Stakely, PTA
NPI 1952895617 · on the registry since 2018
Practice
- Address
- 162 Deacon Way
Mocksville, NC 27028 - Phone
- (336) 480-8368
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina