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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STEPHANIE DE SHANO WAKEMAN, DPT

Active

MRS. STEPHANIE DE SHANO WAKEMAN, DPT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1487879532 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1487879532
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2007 (19.339532780295 yrs)
Last Updated
Jun 7, 2021
Licenses
10037 (SC)
27835 (MD)
40QA01013200 (NJ)
35468 (FL)

Practice Information

Address
13791 SAXON LAKE DR
JACKSONVILLE, FL, 322252624
Browse FL providers · Browse ZIP 32225
Phone
6093069729
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
JOANNA LEIGH MARSHALL PT 1154326536
DONNA LOUISE ZIEGLER PT 1184629560
DAWN NICHELLE ROSADO MPT 1578568952
DEBORAH JANET ROCKETT PT 1174528566
KYLE G CORBIN PT 1437154804
SARAH L KATSARAS PT 1376548776
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.