# STEPHANIE LYNN MARCEAUX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821153016
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT02051 | LA | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1316264153 | GROUP NPI | LA |
| 01 | — | 1821153016 | GROUP MEMBER NPI | LA |
| 01 | — | 5DT76 | GROUP PTAN | LA |
| 01 | — | 5X761DT76 | GROUP MEMBER PTAN | LA |
