Individual
STEPHANIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2300 W CAPITAL AVE, GRAND ISLAND, NE 68803-2003
(308) 385-6252
(308) 384-2186
Mailing address
2300 W CAPITAL AVE, GRAND ISLAND, NE 68803-2003
(308) 385-6252
(308) 384-2186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
730
NE
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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