Individual
STEPHANIE VANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S MOBBERLY AVE, LONGVIEW, TX 75602-2934
(909) 538-1085
Mailing address
702 E AUREL AVE, LONGVIEW, TX 75602-3006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2185220
TX
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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