Individual
STEPHANIE JOY BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24711 AR-5, LONSDALE, AR 72087
(501) 922-9933
Mailing address
7611 KEITH LN, SACHSE, TX 75048-2190
(402) 305-3803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4795
AR
Other
Enumeration date
09/17/2020
Last updated
04/30/2024
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