Individual
MS. MARIA NICOLE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARIA STEPHENS OTR/L
Contact information
Practice address
105 WAXHAW PROFESSIONAL PARK DR, WAXHAW, NC 28173-5017
(704) 251-9112
(704) 684-4644
Mailing address
3212 PLANTERS RIDGE RD, CHARLOTTE, NC 28270-1619
(704) 845-0459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2360
NC
225X00000X
Occupational Therapist
4723
SC
Other
Enumeration date
10/31/2011
Last updated
12/03/2024
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