Individual
MRS. STEPHANIE RAHDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1256
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5834493
—
SD
01
—
P00418138
RAILROAD MEDICARE
—
Enumeration date
04/27/2006
Last updated
09/10/2008
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