Terence Jermaine Stephens, PTA

NPI #1326896721 in Lady Lake, Florida

Provider Information

NPI Number: 1326896721
Entity Type: Individual
Name: Terence Jermaine Stephens, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 9, 2024
Last Updated: May 9, 2024

Practice Location

Address: 630 GRIFFIN AVE
City: Lady Lake
State: Florida
ZIP Code: 32159-8101
Phone: (352) 750-6619

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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