Star Stevenson, MSPT

NPI 1821747932 · on the registry since 2022 · sole proprietor

Practice

Address: 34 Mark West Springs Rd
Santa Rosa, CA 95403
Phone: (707) 546-1922
Organisation at this address: Santa Rosa Surgery Center L P
Santa Rosa Orthopaedic Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 54

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California