Individual
STEPHANIE E MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2340 NW 32ND ST, NEWCASTLE, OK 73065-6589
(405) 396-3322
(405) 392-3356
Mailing address
1200 CORPORATE DR, SUITE 400, BIRMINGHAM, AL 35242
(423) 206-4158
(717) 773-4654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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