| NPI | 1952912065 |
|---|---|
| Former Name | ALISN STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0000013) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06420) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-07-14 |