Individual
MRS. STEPHANIE LEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079XT
BCBS
NC
01
—
11558324
CAQH
NC
01
—
186341
MEDCOST
NC
05
—
7211951
—
NC
01
—
9414736
PHCS
NC
Enumeration date
01/31/2006
Last updated
05/17/2023
Update your record
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