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Individual
JAMES STEPHENSON
Active
Individual
JAMES STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PTA-6295
ID
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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