Individual
STEPHANIE L CUNDIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3109 E BRISTOL ST, ELKHART, IN 46514-4372
(574) 266-4508
Mailing address
417 N SHERMAN ST, LAGRANGE, IN 46761-1322
(260) 350-8865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001997A
IN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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