Individual
STEPHANIE MICHELLE O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
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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