Individual
MRS. STEPHANIE LAYNE PFORTMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
315 S ASH ST, STOCKTON, KS 67669-2136
(785) 425-7129
Mailing address
315 S ASH ST, STOCKTON, KS 67669-2136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02012
KS
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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