Individual
MISS STEPHANIE ANN ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1333 1ST ST, SPRINGFIELD, OR 97477-3002
(541) 736-2700
Mailing address
517 JANUS ST, SPRINGFIELD, OR 97477-3620
(541) 232-7987
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6866
OR
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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