Provider Demographics
NPI:1003871187
Name:LASKIE, STEPHANIE LOVE (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LOVE
Last Name:LASKIE
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:17270 RED OAK DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090
Mailing Address - Country:US
Mailing Address - Phone:281-440-6960
Mailing Address - Fax:281-880-1566
Practice Address - Street 1:17270 RED OAK DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-440-6960
Practice Address - Fax:281-440-6205
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1153193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q00938Medicare UPIN
TX8B2238Medicare ID - Type Unspecified