JAMES STEPHENSON

LEWISTON, ID
NPI1801452248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: ID  PTA-6295)
Enumeration Date2019-05-10
Last Update Date2019-05-10
Business Address
JAMES STEPHENSON PTA
1014 BURRELL AVE
LEWISTON, ID 83501-5589
Phone number: 208-743-4558
Mailing Address
JAMES STEPHENSON PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 208-871-8312