Individual
LOREN CARROLL STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4452 FM 10, GARY, TX 75643-4310
(903) 690-1513
Mailing address
4452 FM 10, GARY, TX 75643-4310
(903) 690-1513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214787
TX
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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