Individual
STEPHANIE MICHELLE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1007 N 7TH ST, PHOENIX, AZ 85006-2728
(602) 943-5472
Mailing address
3309 N 25TH PL, PHOENIX, AZ 85016-7427
(928) 581-0667
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
13498PT
AZ
2251P0200X
Pediatric Physical Therapist
PT012014
GA
Other
Enumeration date
08/10/2015
Last updated
03/17/2018
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