| NPI | 1114253424 |
|---|---|
| Former Name | STEPHANIE LYNNE MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002555A) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA op006792) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2014-02-27 |