Nicholas John Stevens, PTA
NPI #1649811035 in Grantsburg, Wisconsin
Provider Information
- NPI Number
- 1649811035
- Entity Type
- Individual
- Name
- Nicholas John Stevens, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 7, 2019
- Last Updated
- Oct 7, 2019
Practice Location
- Address
- 257 W SAINT GEORGE AVE
- City
- Grantsburg
- State
- Wisconsin
- ZIP Code
- 54840-7827
- Phone
- (715) 463-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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