Organization
STEVENSON PHYSICAL THERAPY, INC.
Active
Other names
Stevenson & Associates Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WAYNE STEVENSON PT (PRESIDENT/OWNER)
(239) 454-6262
Entity
Organization
Contact information
Practice address
15620 MCGREGOR BLVD, SUITE 115, FORT MYERS, FL 33908-2528
(239) 454-6262
(239) 454-0350
Mailing address
15620 MCGREGOR BLVD, SUITE 115, FORT MYERS, FL 33908-2528
(239) 454-6262
(239) 454-0350
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT0002829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0816278
AETNA HMO
FL
01
—
3310940-001
CIGNA HMO
—
01
—
R4X
BCBS OF FL
FL
Enumeration date
06/22/2005
Last updated
01/11/2010
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