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Individual
MS. STEPHANIE ALSUP
Active
Individual
MS. STEPHANIE ALSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108043403
—
TX
01
—
86878T
BLUE CROSS ID NUMBER
TX
01
—
P00037844
RAILROAD MEDICARE NUMBER
TX
Enumeration date
05/28/2006
Last updated
10/22/2012
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