Marquis Stevenson

NPI #1124232293 in Mccomb, Mississippi

Provider Information

NPI Number: 1124232293
Entity Type: Individual
Name: Marquis Stevenson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 206 MARYLAND AVE
City: Mccomb
State: Mississippi
ZIP Code: 39648-3926
Phone: (601) 250-4815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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