Individual
JESSIE NICOLE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
12668 92ND PL N, MAPLE GROVE, MN 55369-6501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9841
MN
Other
Enumeration date
05/26/2011
Last updated
11/24/2014
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