Individual
MR. RUSSELL GLENN STEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., PT, ATC
Contact information
Practice address
FACULTY ROAD CALDWELL FIELDHOUSE, PRINCETON UNIVERSITY, PRINCETON, NJ 08544-0001
(609) 258-3527
(609) 258-7045
Mailing address
15 UNIVERSITY PL, APT 1-N, PRINCETON, NJ 08540-5154
(609) 430-0376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00378200
NJ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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