Individual
STEPHANIE LYNN MARCEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316264153
GROUP NPI
LA
01
—
1821153016
GROUP MEMBER NPI
LA
01
—
5DT76
GROUP PTAN
LA
01
—
5X761DT76
GROUP MEMBER PTAN
LA
Enumeration date
12/27/2006
Last updated
08/10/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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