| NPI | 1902815251 |
|---|---|
| Former Name | STEPHANIE A DURRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NE 1257) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 3614784201) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-03-21 |