Individual
CONNIE THERESA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
3415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3415
NC PT LICENSE NUMBER
NC
Enumeration date
12/23/2009
Last updated
12/23/2009
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