STEPHENIE IVY

BULLHEAD CITY, AZ
NPI1154703064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  11403A)
Enumeration Date2015-06-26
Last Update Date2017-04-06
Business Address
-- STEPHENIE IVY PTA
3782 HIGHWAY 95 SUITE 2
BULLHEAD CITY, AZ 86442-8124
Phone number: 928-763-0807
Mailing Address
-- STEPHENIE IVY PTA
3782 HIGHWAY 95 SUITE 2
BULLHEAD CITY, AZ 86442-8124
Phone number: 928-763-0807
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