Individual
MRS. STEPHANIE ELIZABETH CONDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
76 KINGS HWY, WEST SPRINGFIELD, MA 01089-2527
(413) 265-4690
Mailing address
76 KINGS HWY, WEST SPRINGFIELD, MA 01089-2527
(413) 265-4690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9897
MA
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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