Individual
MRS. STEPHANIE ADDINGTON IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
154 AMENDMENT AVE STE 104, ROCK HILL, SC 29732-3156
(803) 632-4565
Mailing address
1036 ORCHARD GROVES CT APT 102, BELMONT, NC 28012-4184
(704) 954-4042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5418
SC
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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