Provider Demographics
NPI:1295856276
Name:OWENS, STEVEN FRANCIS (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:FRANCIS
Last Name:OWENS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 MAYFIELD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3046
Mailing Address - Country:US
Mailing Address - Phone:770-363-3419
Mailing Address - Fax:
Practice Address - Street 1:810 MAYFIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30009-3046
Practice Address - Country:US
Practice Address - Phone:770-363-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6756Medicare PIN