Individual
MR. ANDREW B STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
49 DEYE LANE, EASTSOUND, WA 98245
(360) 376-6604
(360) 376-4059
Mailing address
PO BOX 487, EASTSOUND, WA 98245
(360) 376-6604
(360) 376-4059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00007789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123748
—
WA
Enumeration date
07/19/2006
Last updated
03/29/2017
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