Individual
STEFANY THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11922 FM 929, GATESVILLE, TX 76528-3353
(254) 716-9222
Mailing address
11922 FM 929, GATESVILLE, TX 76528-3353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067133
TX
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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