Individual
KELLY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 WIGHTMAN ST, PITTSBURGH, PA 15217-1240
(412) 421-0312
(412) 421-0312
Mailing address
235 JOHNSTON RD, UPPER SAINT CLAIR, PA 15241-2534
(412) 833-8671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003590L
PA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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