Individual
MICHAEL A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
(772) 299-7868
Mailing address
1767 BROOKSIDE ST NE, PALM BAY, FL 32907-2440
(321) 501-4847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12669
FL
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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