Individual
MISS STEPHANIE PUCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4423 SHADOWDALE DR, HOUSTON, TX 77041-8718
(713) 466-6872
(713) 466-9547
Mailing address
4423 SHADOWDALE DR, HOUSTON, TX 77041-8718
(713) 466-6872
(713) 466-9547
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1216440
TX
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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