Individual
MICHAEL STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 W HULL ST, DENISON, TX 75020-5237
(903) 715-6811
Mailing address
1512 W HULL ST, DENISON, TX 75020-5237
(903) 715-6811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205885
TX
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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