Individual
STEPHANIE ELIZABETH MCQUAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
564 LUCILLE DR, LEXINGTON, KY 40511
(727) 798-9819
(888) 492-1536
Mailing address
564 LUCILLE DR, LEXINGTON, KY 40511-8001
(727) 798-9819
(888) 492-1536
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
241182
KY
225XP0200X
Pediatric Occupational Therapist
OT009590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100737740
—
KY
Enumeration date
05/07/2008
Last updated
05/26/2021
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