Individual
MR. THOMAS JAMES STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395
(623) 242-6908
Mailing address
17500 N 67TH AVE APT 1031, GLENDALE, AZ 85308-1081
(720) 289-1792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0004959
CO
225X00000X
Occupational Therapist
Primary
OTH-007917
AZ
Other
Enumeration date
05/25/2018
Last updated
11/22/2019
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