Individual
KATHARINE STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S BODINE ST, PHILADELPHIA, PA 19147-4208
(267) 230-1521
Mailing address
912 S BODINE ST, PHILADELPHIA, PA 19147-4208
(267) 230-1521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011348
PA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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