Individual
MS. STEPHANIE LYNN MCVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1570 FAIRVIEW AVE, FRUITLAND, ID 83619-3769
(208) 318-4720
Mailing address
1570 FAIRVIEW AVE, FRUITLAND, ID 83619-3769
(208) 318-4720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2125143
TX
225200000X
Physical Therapy Assistant
8573
OR
225200000X
Physical Therapy Assistant
Primary
PTA-2463
ID
Other
Enumeration date
12/26/2008
Last updated
10/11/2016
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