Individual
MRS. MELISSA LYNN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6251 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3755
(817) 859-7897
Mailing address
4107 TRAILS END DR APT 1611, FORT WORTH, TX 76116-0773
(318) 458-2203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2149259
TX
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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