Provider Demographics
NPI:1104293745
Name:OWENS, STEPHENS C (PT)
Entity type:Individual
Prefix:MR
First Name:STEPHENS
Middle Name:C
Last Name:OWENS
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Gender:M
Credentials:PT
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Mailing Address - Street 1:729 THIMBLE SHOALS BLVD
Mailing Address - Street 2:STE 4-C
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-873-2932
Mailing Address - Fax:757-873-8780
Practice Address - Street 1:304 MARCELLA RD
Practice Address - Street 2:STE E
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-825-9446
Practice Address - Fax:757-825-9476
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
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Provider Licenses
StateLicense IDTaxonomies
VA2305206178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist