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Individual

SCOTT A STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3551 E OVERLAND RD, MERIDIAN, ID 83642-6757
(208) 888-3900
(208) 888-6767
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
(208) 288-0424

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3219
ID

Other

Enumeration date
07/09/2013
Last updated
07/09/2013
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