Individual
MRS. STEPHANIE RENEE' PRIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3114 FOX RD, STE A, JONESBORO, AR 72404-9322
(870) 933-9294
(870) 933-9293
Mailing address
2301 SHEFFIELD DR, JONESBORO, AR 72401-8132
(870) 931-9357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1823
AR
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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