| NPI | 1033291745 |
|---|---|
| Former Name | STEPHANIE E COUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2005026627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11996) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-05-08 |