Individual
MRS. ELIZABETH ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1450 S 1500 E, CLEARFIELD, UT 84015-1633
(801) 397-4340
Mailing address
1450 S 1500 E, CLEARFIELD, UT 84015-1633
(801) 397-4340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7148778-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000600490
BCBS PIN
MT
Enumeration date
12/13/2007
Last updated
09/30/2009
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