Individual
ZACHARY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 DENT DR, LEWISBURG, PA 17837-2005
(570) 577-3065
Mailing address
15 SUMMIT DR, PINE CITY, NY 14871-9222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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