| NPI | 1730397431 |
|---|---|
| Former Name | STEPHANIE A PHILLIPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34-009537) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-09-06 |