Individual
ERIC STEFANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 966-6763
Mailing address
251 CLEWS ST, PAWTUCKET, RI 02861-1478
(401) 617-0231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9393
MA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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