Individual
MARYBETH STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 TURNER MCCALL BLVD NW, ROME, GA 30165-2545
(706) 235-2727
(706) 235-2726
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 802-1991
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002517
GA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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