James Stephenson, PTA

NPI #1801452248 in Lewiston, Idaho

Provider Information

NPI Number: 1801452248
Entity Type: Individual
Name: James Stephenson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: PTA
Enumeration Date: May 10, 2019
Last Updated: May 10, 2019

Practice Location

Address: 1014 BURRELL AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-5589
Phone: (208) 743-4558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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