Individual
MRS. STEPHANIE RENEE HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2225 OLD EMMORTON ROAD, SUITE 210, BEL AIR, MD 21015
(410) 515-4900
(410) 515-0777
Mailing address
3707 TIMAHOE CIRCLE, BALTIMORE, MD 21236
(410) 529-6462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419800000
—
MD
Enumeration date
06/06/2008
Last updated
06/06/2008
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