Individual
CHRISTINE ANN STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 342-4412
Mailing address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 342-4412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1417
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417
STATE LICENSURE
SD
Enumeration date
07/07/2008
Last updated
07/07/2008
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