Individual
MS. AMY JULIENE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1000 LOCUST ST, RENO, NV 89502-2597
(775) 786-7200
(775) 337-2287
Mailing address
711 MARSH AVE, RENO, NV 89509-1422
(775) 348-6465
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
47433
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47433
RECREATION THERAPY
NV
Enumeration date
06/29/2006
Last updated
07/08/2007
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