Individual
STEPHANIE CREAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8734
(575) 439-6100
Mailing address
305 COVER PL, COLUMBUS, OH 43235-6453
(937) 681-0677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2129133
TX
225200000X
Physical Therapy Assistant
PTA011188
OH
225200000X
Physical Therapy Assistant
Primary
PTA1491
NM
Other
Enumeration date
11/07/2016
Last updated
04/29/2019
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