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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GERALD DWAYNE STAKELY JR., PTA

Active

MR. GERALD DWAYNE STAKELY JR., PTA is a Occupational Therapist healthcare provider located in MOCKSVILLE, North Carolina. NPI 1952895617 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MOCKSVILLE, NC

Registration Details

NPI Number
1952895617
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2018 (8.1997398165619 yrs)
Last Updated
Jun 17, 2018
License
6516 (NC)

Practice Information

Address
162 DEACON WAY
MOCKSVILLE, NC, 270285183
Browse NC providers · Browse ZIP 27028
Phone
3364808368
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MOCKSVILLE, NC

Name Credential NPI
MRS. KRIS MOORE SEAFORD 1568662237
BRITTANY JONES 1538515168
MELISSA JAMES ROSEMAN 1275115081
MONTANNA BERRIER 1215742499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.