Individual
STEPHANIE ROSE LURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CPST
Contact information
Practice address
8230 HICKMAN RD, CLIVE, IA 50325-4305
(515) 207-9712
Mailing address
3320 PERIDOT AVE APT 220, AMES, IA 50010-1208
(641) 330-3920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
115594
IA
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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