Individual
SHEILA MARIE STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
(313) 749-9289
Mailing address
21401 MACK AVE, GROSSE POINTE WOODS, MI 48236-1048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005606
MI
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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