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Individual

MRS. STEPHANIE AMBER LEDBETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, MOT

Contact information

Practice address
7160 TCHULAHOMA RD BLDG B, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Mailing address
7160 TCHULAHOMA RD BLDG B, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000004077
TN

Other

Enumeration date
09/07/2010
Last updated
09/07/2010
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