Individual
REGINA STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4776 EAGLERIDGE CIRCLE, VA EASTERN COLORADO HEALTH CARE SYSTEM, PUEBLO, CO 81008
(719) 250-5011
(719) 584-5496
Mailing address
4550 SQUIRRELTAIL DR, COLORADO SPRINGS, CO 80920-7632
(719) 352-9707
(719) 434-8479
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT.0002519
CO
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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