Individual
STEPHANIE LYNN TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
HC 80 BOX 743, MELBOURNE, AR 72556-9526
(870) 368-7989
Mailing address
HC 80 BOX 743, MELBOURNE, AR 72556-9526
(870) 368-7989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1686
AR
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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