Individual
SSTEPHANIE L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4700 W 13TH ST N, WICHITA, KS 67212-5575
(316) 942-7456
Mailing address
758 REDBARN LN, WICHITA, KS 67212-3685
(316) 722-8464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02988
KS
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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