Provider Demographics
NPI:1902279268
Name:STAMPER, SABLE LEANN (DPT)
Entity type:Individual
Prefix:DR
First Name:SABLE
Middle Name:LEANN
Last Name:STAMPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:SABLE
Other - Middle Name:LEANN
Other - Last Name:KELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31964 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3730
Mailing Address - Country:US
Mailing Address - Phone:727-786-2503
Mailing Address - Fax:727-786-7949
Practice Address - Street 1:31964 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3730
Practice Address - Country:US
Practice Address - Phone:727-786-2503
Practice Address - Fax:727-786-7949
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist