Individual
STEPHANIE JEAN BOUGHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1603 GOODWIN RD, RUSTON, LA 71270-2907
(318) 225-7550
Mailing address
136 CHERRYBARK WAY, CHOUDRANT, LA 71227-5030
(479) 629-5360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10432R
LA
Other
Enumeration date
05/12/2020
Last updated
02/27/2023
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