Individual
JULIE RENEE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5287
Mailing address
9420 HILLCREST DR, PLYMOUTH, MI 48170-3240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487605168
—
MI
Enumeration date
02/23/2018
Last updated
02/23/2018
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