Stephanie Green Buss PTA

NPI 1407005002 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1407005002
Gender Female
Enumeration Date 09/18/2008
Last Updated 09/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9230 E AVENUE T14
LITTLEROCK CA, 93543-3509, US
Phone (661) 433-2555
Fax
Business Location
9230 E AVENUE T14
LITTLEROCK CA, 93543-3509, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number AT 8775
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According to our database, Stephanie Green Buss PTA NPI is 1407005002, taxonomy code is 225200000X and license number is AT 8775, license state is located at California. Stephanie Green Buss PTA physically located at 9230 E Avenue T14, Littlerock CA, 93543-3509. NPI Number Stephanie Green Buss PTA has the Individual type.

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1407005002 NPI number is provided on an as is basis without warranty of any kind. 1407005002 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Green Buss PTA are for informational purposes only.