Individual
MRS. RENEE LYNN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
900 PINE ST, STE. 127, ENGLEWOOD, FL 34223-4418
(941) 475-2022
(941) 473-1470
Mailing address
600 NOKOMIS AVE S, STE. 204, VENICE, FL 34285-3209
(941) 484-1939
(941) 484-7804
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT20224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4496768
AETNA
FL
01
—
Q08
BCBS OF FL
FL
Enumeration date
05/14/2007
Last updated
07/08/2007
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