Individual
JUSTIN STEPHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 KRALL RD, MYERSTOWN, PA 17067-2528
(609) 675-6098
Mailing address
33 KRALL RD, MYERSTOWN, PA 17067-2528
(609) 675-6098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015409
PA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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