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NPI Code Detail

MEDICARE: STEPHANNA ALBERTY PT

MEDICARE: STEPHANNA ALBERTY PT
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 Therapist09604RLA
2225100000XPhysical TherapistCP044156TNJ
3225100000XPhysical TherapistPT033435PA

General Provider Information

NPI Number : 1659807212
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANNA ALBERTY PT
Provider Business Mailing Address
First Line : PO BOX 1342
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-1342
Country : US
Telephone Number : 225-234-0427
Fax Number : 225-245-3063
Provider Business Practice Location Address
First Line : 390 RED SCHOOL LN
Second Line :
City : PHILLIPSBURG
State : NJ
Zip : 08865-2230
Country : US
Telephone Number : 908-859-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2017
Last Update Date : 06/22/2026

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