Individual
STEPHANIE PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, DRS
Contact information
Practice address
2270 INKE RD, RICHMOND, IN 47374-9228
(765) 277-2998
(833) 523-2388
Mailing address
2270 INKE RD, RICHMOND, IN 47374-9228
(765) 277-2998
(833) 523-2388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006980A
INDIANA OCCUPATIONAL THERAPY LICENSE NUMBER
IN
01
—
425085
NBCOT CERTIFICATION
—
01
—
OT010764
OHIO OCCUPATIONAL THERAPIST LICENSE
OH
Enumeration date
07/11/2022
Last updated
07/11/2022
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