Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 7421 | SC |
Y | 225100000X | Physical Therapist | P2611 | NC |
NPI | 1003224502 |
---|---|
Provider Name | Stephen F Ahrens |
First Address | Columbus, NC 28722-7406 |
Second Address | Spindale, NC 28160-1235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2014 |
Last Update Date | 03/04/2020 |