Individual
STEPHANIE ELAINE JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 N HOBART ST, PAMPA, TX 79065-4126
(806) 419-1168
Mailing address
2617 CHEROKEE DR, PAMPA, TX 79065-3105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2131662
TX
Other
Enumeration date
11/06/2019
Last updated
03/25/2020
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