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NPI Code Detail

MEDICARE: STEPHANIE A FLETCHER P.T.

MEDICARE: STEPHANIE A FLETCHER P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT.05202LA

General Provider Information

NPI Number : 1043239825
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE A FLETCHER P.T.
Provider Business Mailing Address
First Line : PO BOX 98509
Second Line :
City : BATON ROUGE
State : LA
Zip : 70884-9509
Country : US
Telephone Number : 225-769-2200
Fax Number :
Provider Business Practice Location Address
First Line : 10101 PARK ROWE AVE STE 200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1685
Country : US
Telephone Number : 225-769-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/28/2008

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Directions to “ STEPHANIE A FLETCHER P.T.” Practice Location

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