Individual
STEPHANIE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7273 S SIWELL RD, JACKSON, MS 39272-9776
(601) 372-8223
(601) 372-8125
Mailing address
PO BOX 2153, DEPT 1947, BIRMINGHAM, AL 35287-0002
(601) 372-8223
(601) 372-8125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5756
MS
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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