Doctor Name: | MR. CHARLES BELL STEPHENSON |
NPI Number: | 1801916416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1061596 |
Business Practice Address: | 10010 N Macarthur Blvd Irving, TX - 750635001 |
Business Phone Number: | 9724014774 |
Business Fax Number: | 9724010800 |
Mailing Address: | 204 S Carruth Ln, DOUBLE OAK |
State: | TX |
Postal Code: | 750777338 |
Phone Number: | 8174910675 |
Fax Number: | 8174910681 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1061596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |