Provider Demographics
NPI:1689698482
Name:FREEMAN, STEPHEN ARTHUR (PT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ARTHUR
Last Name:FREEMAN
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 1:1700 CALICO DRIVE
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4423
Mailing Address - Country:US
Mailing Address - Phone:252-726-1192
Mailing Address - Fax:
Practice Address - Street 1:1700 CALICO DRIVE
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4423
Practice Address - Country:US
Practice Address - Phone:252-726-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist