Doctor Name: | TAMERA LINN STEARLEY |
NPI Number: | 1780054536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS,LPTA, CDT |
License Number: | 5502002300 |
Business Practice Address: | 1290 E Michigan Hwy Roscommon, MI - 486538757 |
Business Phone Number: | 9892758936 |
Business Fax Number: | |
Mailing Address: | 1290 E Michigan Hwy, ROSCOMMON |
State: | MI |
Postal Code: | 486538757 |
Phone Number: | 9892758936 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2015 |
NPI Last Update Date: | 10/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 5502002300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |