STAR BARRY STEVENSON

SANTA ROSA, CA
NPI1821747932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  25565)
Enumeration Date2022-03-23
Last Update Date2022-03-23
Business Address
Mr. STAR BARRY STEVENSON MSPT
34 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403-1766
Phone number: 707-546-1922
Mailing Address
Mr. STAR BARRY STEVENSON MSPT
4909 STONEHEDGE DR
SANTA ROSA, CA 95405-7443
Phone number: 707-483-5876