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Individual
MS. STEPHANIE MARIE DRAYTON
Active
Individual
MS. STEPHANIE MARIE DRAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11349967
CAQH
PA
01
—
1648274
BC/BS PIN
—
01
—
2325007000
KEYSTONE PIN
PA
Enumeration date
07/12/2005
Last updated
03/31/2022
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