Individual
MS. STEPHANIE MARIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
910 E ALOSTA AVE, AZUSA, CA 91702-2709
(626) 334-8735
Mailing address
910 E ALOSTA AVE, AZUSA, CA 91702-2709
(626) 334-8735
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
11974
CA
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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