STEPHANIE JANE FULL

SISSONVILLE, WV
NPI1952428799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  1104)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Ms. STEPHANIE JANE FULL PTA
302 CEDAR RIDGE RD
SISSONVILLE, WV 25320-9502
Phone number: 304-984-0046
Mailing Address
Ms. STEPHANIE JANE FULL PTA
101 ELIZABETH ST APT. 2
CHARLESTON, WV 25311-2185
Phone number: 304-984-0046
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