Individual
MRS. STEPHANIE VAN DE WATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
Mailing address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
12270PT
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
LPT012270
AZ
Other
Enumeration date
06/02/2016
Last updated
12/05/2023
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