Individual
DEBORAH STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WESTERN HILLS DR, PARKERSBURG, WV 26105-8122
(304) 420-1300
Mailing address
1416 55TH ST, VIENNA, WV 26105-3276
(304) 295-5687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001219
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002106000
—
WV
Enumeration date
03/29/2007
Last updated
07/08/2007
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