Individual
DR. STEPHANIE RENEE THOMAS WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5091
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529917620
MEDICAID GROUP
AL
01
—
DB9027
MEDICARE RAILROAD
AL
01
—
K531
MEDICARE GROUP
AL
Enumeration date
12/24/2007
Last updated
02/26/2025
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