Individual
MRS. STEPHANIE MARIE TROWBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
712 W 2ND ST, LEAVENWORTH, IN 47137-2264
(812) 739-2292
Mailing address
4001 W CARMOLA DR, BLOOMINGTON, IN 47404-1185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003883A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06003883A
INDIANA STATE PHYSICAL THERAPIST ASSISTANT LICENSE NUMBER
IN
Enumeration date
01/16/2010
Last updated
11/04/2014
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