Individual
IAN J STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 W STUART DR, GALAX, VA 24333-2114
(276) 238-8900
Mailing address
106 W STUART DR, GALAX, VA 24333-2114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210187
VA
225100000X
Physical Therapist
23826
MD
Other
Enumeration date
10/18/2011
Last updated
12/01/2016
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