Individual
MRS. CLARA V STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4300
Mailing address
511 N NEW RIVER DR APT B, SURF CITY, NC 28445-6637
(816) 729-1952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12395
NC
2251X0800X
Orthopedic Physical Therapist
P12395
NC
Other
Enumeration date
09/04/2012
Last updated
12/05/2023
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