Individual
MR. JOHN STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CERT. MDT
Contact information
Practice address
1908 W MILHAM AVE, PORTAGE, MI 49024-1232
(269) 459-6212
(269) 585-6068
Mailing address
1908 W MILHAM AVE, PORTAGE, MI 49024-1232
(269) 459-6212
(269) 585-6068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009179
MI
Other
Enumeration date
05/24/2006
Last updated
07/11/2019
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