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Individual
MS. STEPHANIE NICHOLE BURNS
Active
Individual
MS. STEPHANIE NICHOLE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20036
MA
225100000X
Physical Therapist
38111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093924A
—
MA
Enumeration date
09/15/2011
Last updated
04/23/2013
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