Individual
STEPHANIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12393 B RD, POLK, NE 68654
(402) 362-0436
Mailing address
12393 B RD, POLK, NE 68654
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
292
NE
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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