Individual
STEPHANIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3635 CALDER AVE STE 109, BEAUMONT, TX 77706-5044
(409) 673-7641
(409) 833-7235
Mailing address
6864 HUDNALL RD, ORANGE, TX 77632-3524
(409) 466-8995
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2029304
TX
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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