Individual
MR. RYAN SCOTT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPS, ATC, CSCS
Contact information
Practice address
1 PATRIOTS PARK, TD BANK BALLPARK, BRIDGEWATER, NJ 08807-3454
(908) 203-5972
(908) 685-2413
Mailing address
110 REHILL AVE, ATTN: SPORTS PERFORMANCE & REHABILITATION CENTER, SOMERVILLE, NJ 08876-2519
(908) 203-5972
(908) 685-2413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001366
NY
2255A2300X
Athletic Trainer
Primary
25MT00157800
NJ
Other
Enumeration date
02/20/2007
Last updated
03/03/2010
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