STEPHANIE RENEE' PRIVETT

JONESBORO, AR
NPI1154605061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  1823)
Enumeration Date2011-10-11
Last Update Date2011-10-11
Business Address
Mrs. STEPHANIE RENEE' PRIVETT PTA
3114 FOX RD STE A
JONESBORO, AR 72404-9322
Phone number: 870-933-9294
Mailing Address
Mrs. STEPHANIE RENEE' PRIVETT PTA
2301 SHEFFIELD DR
JONESBORO, AR 72401-8132
Phone number: 870-931-9357