Individual
STEPHANIE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002213
IA
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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