Individual
MATTHEW LEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
895 PORTLAND RD, SACO, ME 04072-9673
(207) 439-5105
Mailing address
323 W POWNAL RD UNIT B, NORTH YARMOUTH, ME 04097-6815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4963
ME
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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