Individual
MICHAEL DUANE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
120 BECKRICH RD, SUITE 130, PANAMA CITY BEACH, FL 32407-2521
(850) 235-6360
(850) 235-7781
Mailing address
148 TREASURE PALM DR, PANAMA CITY BEACH, FL 32408-7715
(850) 235-6360
(850) 235-8871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20905
FL
2255A2300X
Athletic Trainer
AL1308
FL
Other
Enumeration date
08/12/2008
Last updated
08/13/2008
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