Individual
JASON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
550 GLENWOOD DR, MOORESVILLE, NC 28115-2876
(706) 466-2727
(704) 323-7144
Mailing address
21438 NAUTIQUE BOULAVARD # 302, CORNELIUS, NC 28031
(706) 466-2727
(704) 323-7144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/16/2007
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