MRS. Stephanie Renee' Privett, PTA

NPI #1154605061 in Jonesboro, Arkansas

Provider Information

NPI Number: 1154605061
Entity Type: Individual
Name: MRS. Stephanie Renee' Privett, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 3114 FOX RD
Address 2: STE A
City: Jonesboro
State: Arkansas
ZIP Code: 72404-9322
Phone: (870) 933-9294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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