Individual
JENNIFER STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
1007 E PROSPECT AVE, RAEFORD, NC 28376-2337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5971
NC
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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