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Individual

STEPHANIE MICHELLE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5369
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5705
(800) 995-2673

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002282
VA

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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