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NPI Code Detail

MEDICARE: ANNA STEVENS

MEDICARE:   ANNA  STEVENS
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 TherapistPT006893LPA

General Provider Information

NPI Number : 1346366341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA STEVENS
Provider Business Mailing Address
First Line : 111 DARNLEY DR
Second Line :
City : MOON TOWNSHIP
State : PA
Zip : 15108-9753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3590 WASHINGTON PIKE
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-1047
Country : US
Telephone Number : 412-257-2474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ ANNA STEVENS ” Practice Location

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