RUSSELL WADE STEPHAN

FORT MYERS, FL
NPI1124191226
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT20296)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
Mr. RUSSELL WADE STEPHAN MSM MPT
9371 CYPRESS LAKE DR SUITE 20
FORT MYERS, FL 33919-4939
Phone number: 239-415-2595
Mailing Address
Mr. RUSSELL WADE STEPHAN MSM MPT
9371 CYPRESS LAKE DR SUITE 20
FORT MYERS, FL 33919-4939
Phone number: 239-415-2595
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