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MRS. STEPHANIE JEAN SAMONS PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1750807954
Individual Registrant:MRS. STEPHANIE JEAN SAMONS PTA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
14114 ALABAMA ST JAY, FL 32565-1219 US
Tel: (85-0) -675-8040 Fax: 850-675-8016
Tel: (85-0) -675-8040 Fax: 850-675-8016
Contact information for business:
14114 ALABAMA ST JAY, FL 32565-1219 US
Tel: 850-675-8040 Fax: 850-675-8016
Tel: 850-675-8040 Fax: 850-675-8016
Registration Information:
NPI: 1750807954
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | FL | PTA26830 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
