Individual
STEPHANIE JANE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
813 S MAIN ST, BROWNSVILLE, KY 42210-9009
(270) 597-2335
Mailing address
795 NOAH BLEDSOE RD, SMITHS GROVE, KY 42171-8275
(270) 597-9759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02317
KY
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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