Individual
MR. COLBY LEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 692-1005
Mailing address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 692-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2904
NC PT LICENSE
NC
Enumeration date
04/28/2008
Last updated
04/28/2008
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