Individual
STEPHEN P. MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE VA HEALTHCARE SYSTEM, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1720 ORCHARD DR, SALT LAKE CITY, UT 84106-3257
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118331-2401
UT
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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