Individual
STEPHEN BRYCE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CERT DN
Contact information
Practice address
1002 JEFFERSON STREET, SUITE 150, LAUREL, MS 39440
(601) 399-0534
Mailing address
1002 JEFFERSON STREET, SUITE 150, LAUREL, MS 39440
(601) 399-0534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5403
MS
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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