| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE P LARRY | 1740445584 | 2024-03-11 |
Stephanie Patricia Larry PT [F] graduated in 1978 and primarily specializes in Physical Therapy.
Stephanie P Larry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740445584. Registration indicates Stephanie P Larry is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 5597665737 |
| Entity Type | Individual |
| Provider Name | Mrs. Stephanie P Larry P.T. |
| Practice Office Address | 7023 KAYLEIGH CT SUGAR LAND, TX US |
| Practice Office Telephone | 2812651705 |
| Practice Office Fax | 2812650848 |
| Mailing Address | 7023 KAYLEIGH CT SUGAR LAND, TX 774795534 US |
| Business Telephone | 2812651705 |
| Business Fax | 2812650848 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 1029593
TX |
| 1848370 | MEDICAID | TX |