Individual
SHAILA MARCANO-STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
Mailing address
131 GREEN VIEW RD, MOYOCK, NC 27958-9243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001182
VA
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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