Individual
PATRICIA F STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1490 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4601
(434) 245-6472
(434) 245-6474
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000495
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
03/19/2013
Last updated
05/03/2018
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