Individual
MR. STEPHEN MATTHEW LEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MSC, OCS
Contact information
Practice address
7932 SUMMA AVE STE B3, BATON ROUGE, LA 70809-3416
(225) 769-9203
(225) 769-9205
Mailing address
7932 SUMMA AVE STE B3, BATON ROUGE, LA 70809-3416
(225) 769-9203
(225) 769-9205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02644F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02644F
PT LICENSE NUMBER
LA
Enumeration date
08/31/2006
Last updated
11/20/2007
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