Individual
STEPHANIE RONDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1479 GROVE PARK DR, COLUMBUS, GA 31904-1585
(706) 507-4460
Mailing address
6628 TERRY DR, FORT BENNING, GA 31905-2753
(603) 892-5958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA04491
GA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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