Individual
STEFANIE ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1321 CLEAR LAKE CT, OXFORD, MI 48371-5981
(248) 709-2774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002099
MI
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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