Shannon Denise Stephens PTA

NPI 1407051162 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1407051162
Gender Female
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
202 SMOKETREE WAY
LOUISBURG NC, 27549-2165, US
Phone (919) 495-6500
Fax
Business Location
302 LAYTON STORE RD
CASTALIA NC, 27816-9211, US
Phone (919) 853-2976
Fax
Toxanomy
Taxonomy Code 225200000X
License State North Carolina
License Number 3309
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According to our database, Shannon Denise Stephens PTA NPI is 1407051162, taxonomy code is 225200000X and license number is 3309, license state is located at North Carolina. Shannon Denise Stephens PTA physically located at 202 Smoketree Way, Louisburg NC, 27549-2165. NPI Number Shannon Denise Stephens PTA has the Individual type.

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1407051162 NPI number is provided on an as is basis without warranty of any kind. 1407051162 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Denise Stephens PTA are for informational purposes only.