| Doctor Name: | MR. ERIC WILLIAM STEPHAN |
| NPI Number: | 1295729432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT00008288 |
| Business Practice Address: | 7321 11th St Hill Afb, UT - 840565012 |
| Business Phone Number: | 8017775400 |
| Business Fax Number: | 8015869741 |
| Mailing Address: | 702 E 400 S, CLEARFIELD |
| State: | UT |
| Postal Code: | 840151108 |
| Phone Number: | 8013098807 |
| Fax Number: | 8015869741 |
| NPI Enumeration Date: | 09/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008288 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |