Individual
MR. MARK STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8336 FAIR OAKS BLVD, CARMICHAEL, CA 95608-1906
(916) 944-3100
Mailing address
5029 RISLEY CT, SACRAMENTO, CA 95842-1566
(916) 348-8564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10996
CA
Other
Enumeration date
02/11/2016
Last updated
11/16/2016
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