Individual
AMY L STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1151 S RIVER RD, DENHAM SPRINGS, LA 70726-4239
(662) 617-1319
Mailing address
1151 S RIVER RD, DENHAM SPRINGS, LA 70726-4239
(662) 617-1319
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1209357
TX
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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