MARK E STEPHENSON

NAMPA, ID
NPI1841732518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-3298)
Enumeration Date2016-11-13
Last Update Date2016-11-13
Business Address
-- MARK E STEPHENSON PTA
113 SMITH AVE
NAMPA, ID 83651-2322
Phone number: 208-615-6248
Mailing Address
-- MARK E STEPHENSON PTA
113 SMITH AVE
NAMPA, ID 83651-2322
Phone number: 208-615-6248
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