| Doctor Name: | STEPHANIE L. VICKERS |
| NPI Number: | 1588962443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1110062 |
| Business Practice Address: | 2117 S Day St Brenham, TX - 778334528 |
| Business Phone Number: | 9798301002 |
| Business Fax Number: | 9798305247 |
| Mailing Address: | 1304 S Day St, BRENHAM |
| State: | TX |
| Postal Code: | 778334528 |
| Phone Number: | 9796450730 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2011 |
| NPI Last Update Date: | 03/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1110062 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |