Shannon Stephen, PTA

NPI #1275739013 in Van Buren, Arkansas

Provider Information

NPI Number: 1275739013
Entity Type: Individual
Name: Shannon Stephen, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 521 MAIN ST
City: Van Buren
State: Arkansas
ZIP Code: 72956-5109
Phone: (479) 410-1740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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