Individual
BETTE J STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2060 STEWART AVE SUITE 22, WAUSAU, WI 54401
(715) 849-1900
(715) 849-1916
Mailing address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1559-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40185300
—
WI
Enumeration date
03/22/2007
Last updated
07/08/2007
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