Individual
LAURA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
4301 MCCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 720-9185
Mailing address
2847 5TH AVE # 135, HUNTINGTON, WV 25702-1435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003060
WV
2251N0400X
Neurology Physical Therapist
003060
WV
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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