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Melissa Lynn Stephens, PTA

Physical Therapy Assistant in Fort Worth, TX. Individual provider (NPI-1).

NPI number1982305918
StatusActive
Last updated in NPPESMar 16, 2023

Details

NPI
1982305918
Entity type
Individual (NPI-1)
Name
Mrs. Melissa Lynn Stephens
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 16, 2023
Certification date
Mar 16, 2023
Last updated
Mar 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2149259TXYes

Practice location

6251 Overton Ridge Blvd
Fort Worth, TX 76132-3755

Phone 817-859-7897

Mailing address

4107 Trails End Dr Apt 1611
Fort Worth, TX 76116-0773

Phone 318-458-2203

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