Individual
MICHAEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13934 GOLD CIR, OMAHA, NE 68144-2359
(800) 259-8797
Mailing address
53545 863 RD, PLAINVIEW, NE 68769-2117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1372
NE
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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