Individual
STEPHANIE VANESSA MALGUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1385
(404) 261-6611
Mailing address
101 FIELDSTONE CT, FREDERICK, MD 21702-3279
(703) 740-6106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A5876
MD
225200000X
Physical Therapy Assistant
Primary
CP029337A
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
10/25/2022
Last updated
03/08/2024
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