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NPI Code Detail

MEDICARE: STEPHANIE HOWARD PTA

MEDICARE: STEPHANIE HOWARD PTA
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
1225200000XPhysical Therapy AssistantPTA5756MS

General Provider Information

NPI Number : 1497111652
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE HOWARD PTA
Provider Business Mailing Address
First Line : PO BOX 2153
Second Line : DEPT 1947
City : BIRMINGHAM
State : AL
Zip : 35287-0002
Country : US
Telephone Number : 601-372-8223
Fax Number : 601-372-8125
Provider Business Practice Location Address
First Line : 7273 S SIWELL RD
Second Line :
City : JACKSON
State : MS
Zip : 39272-9776
Country : US
Telephone Number : 601-372-8223
Fax Number : 601-372-8125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 01/04/2016

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