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Individual

STEPHANIE MARIE SCRUGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 6TH ST N, HUMBOLDT, IA 50548-1425
(515) 570-5844
Mailing address
405 6TH ST N, HUMBOLDT, IA 50548-1425

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
09/08/2022
Last updated
09/20/2022
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