Individual
STEPHEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1003 MILL POND DR STE C, GREENCASTLE, IN 46135-2609
(765) 653-8494
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 812-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0514300A
LICENSE #
—
Enumeration date
10/27/2021
Last updated
05/01/2025
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