Provider Demographics
NPI:1245687896
Name:LAFLAMME, STEPHEN GEORGE (PT, DPT)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:GEORGE
Last Name:LAFLAMME
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 EATON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-7261
Mailing Address - Country:US
Mailing Address - Phone:614-940-3049
Mailing Address - Fax:
Practice Address - Street 1:1391 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1084
Practice Address - Country:US
Practice Address - Phone:614-487-9715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT5784225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist