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NPI Code Detail

MEDICARE: CHARLES ANTHONY STEVENS DPT

MEDICARE: CHARLES ANTHONY STEVENS DPT
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 TherapistPA

General Provider Information

NPI Number : 1407176761
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES ANTHONY STEVENS DPT
Provider Business Mailing Address
First Line : 27 MAIN ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1640
Country : US
Telephone Number : 570-282-9382
Fax Number : 570-227-1891
Provider Business Practice Location Address
First Line : 27 MAIN ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1640
Country : US
Telephone Number : 570-282-9382
Fax Number : 570-227-1891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2010
Last Update Date : 12/16/2025

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Directions to “ CHARLES ANTHONY STEVENS DPT” Practice Location

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