Individual
JUSTINE REBECCA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ATC CKTP
Contact information
Practice address
441 E FORDHAM RD, BRONX, NY 10458-5149
(718) 817-4699
Mailing address
326 GLENBROOK AVE, YONKERS, NY 10705-1503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8906860
NY
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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