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Individual
STEPHANIE LYNN FORAKER
Active
Individual
STEPHANIE LYNN FORAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305206815
VA
225100000X
Physical Therapist
P20025
NC
225100000X
Physical Therapist
Primary
PT28730
FL
Other
Enumeration date
02/23/2011
Last updated
09/01/2023
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