Individual
JONATHAN DAVID STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 DES PERES RD, SUITE 130, SAINT LOUIS, MO 63131-2050
(314) 775-0183
(314) 775-0190
Mailing address
1000 DES PERES RD, SUITE 130, SAINT LOUIS, MO 63131-2050
(314) 775-0183
(314) 775-0190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014024594
MO
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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