Individual
KELLY ANN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2211 E SOUTHERN AVE, PHOENIX, AZ 85040-3408
(602) 305-7134
Mailing address
15615 S 6TH PL, PHOENIX, AZ 85048-6305
(480) 688-2947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AZ923
AZ
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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