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Individual
MRS. STEPHANIE ANN ANDERSON
Active
Individual
MRS. STEPHANIE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
70015222
IL
225100000X
Physical Therapist
Primary
PT29370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016138900
—
FL
01
—
4X9NE
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/12/2006
Last updated
02/16/2016
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