Individual
COLIN R STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
319A SOUTHBRIDGE ST, AUBURN, MA 01501-2598
(508) 832-2628
Mailing address
1124 IRIS DR, MOUNTAINSIDE, NJ 07092-2210
(908) 361-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02143700
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
27435
MA
Other
Enumeration date
01/13/2023
Last updated
02/20/2026
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