Individual
TIMOTHY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976
Mailing address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
544
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
544
STATE LICENSE
AK
Enumeration date
12/27/2013
Last updated
12/27/2013
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