Individual
STEPHANIE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
708 S JEFFERSON WAY, INDIANOLA, IA 50125-3132
(515) 962-9555
Mailing address
708 S JEFFERSON WAY, GOOD SAMARITAN, INDIANOLA, IA 50125-3132
(515) 962-9555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
OO4823
IA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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