Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 003551 | KY |
NPI | 1033657952 |
---|---|
Provider Name | David Stepner |
First Address | Hebron, KY 41048-8142 |
Second Address | Hebron, KY 41048-8142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2017 |
Last Update Date | 11/02/2017 |