Mr. Russell Wade Stephan, MSMMPT
Mr. Russell Wade Stephan, MSMMPT is a Physical Therapist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
9371 Cypress Lake Dr Ste 20Fort Myers, FL 33919-4939
Phone: (239) 415-2595
Fax: (239) 415-2597
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT20296 (FL) |
|---|
Record details
| NPI number | 1124191226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSMMPT |
| Sole proprietor | No |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
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