Individual
MRS. STEPHANIE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2596 BAIRD RD, PENFIELD, NY 14526-2333
(585) 383-6648
Mailing address
367 WHITNEY RD, PENFIELD, NY 14526-2329
(585) 451-2915
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008665-1
NY
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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