Individual
MRS. ELIZABETH DIANE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7960 CENTER ST, MENTOR, OH 44060-7863
(440) 299-6120
Mailing address
7960 CENTER ST, MENTOR, OH 44060-7863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6302
OH
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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