Individual
BRIANNE E STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1532 ELLIS ST, SUITE 103, BOZEMAN, MT 59715-8808
(406) 586-5694
Mailing address
1532 ELLIS ST, SUITE 103, BOZEMAN, MT 59715
(406) 586-5694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4486
MT
225100000X
Physical Therapist
5454
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274469
—
OR
Enumeration date
06/27/2007
Last updated
02/20/2013
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