Individual provider · Type 1 NPI

Shannon Stephen, PTA

Physical Therapy Assistant · Van Buren, AR

NPI number 1275739013 Active

Practice location

521 Main St
Van Buren, AR 72956-5109

Call (479) 410-1740 Map

Mailing address

2111 Bainbridge Ave
Ponca City, OK 74604-2404

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	619 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1275739013

Shannon Stephen, PTA's National Provider Identifier is 1275739013, issued on Jun 26, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Van Buren, AR. The record was last updated on Jul 8, 2007.