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NPI Code Detail

MEDICARE: STARR LINN STEPHENS P.T.

MEDICARE: STARR LINN STEPHENS P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist17395CA

General Provider Information

NPI Number : 1538380969
Entity Type Code : Individual
Provider Name (Legal Business Name) : STARR LINN STEPHENS P.T.
Provider Business Mailing Address
First Line : 71 N FOREST RD
Second Line : APT F
City : SONORA
State : CA
Zip : 95370-4831
Country : US
Telephone Number : 831-320-3991
Fax Number :
Provider Business Practice Location Address
First Line : 3020 E 15TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2305
Country : US
Telephone Number : 510-261-5613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/09/2007

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Directions to “ STARR LINN STEPHENS P.T.” Practice Location

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