Individual
MS. THERESA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
3052 HARBOR BLVD STE 1, PORT CHARLOTTE, FL 33952-6758
(941) 255-0038
(941) 255-0728
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
FL
237700000X
Hearing Instrument Specialist
Primary
AS-3683
ZZ
Other
Enumeration date
02/18/2010
Last updated
04/11/2019
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