Individual
STEPHANIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
957 SUGARBUSH TRL, LEXINGTON, KY 40509-7000
(859) 492-5699
Mailing address
957 SUGARBUSH TRL, LEXINGTON, KY 40509-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4430
KY
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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