Individual
REBECCA J STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1415 MAPLE ST, EUDORA, KS 66025-9419
(615) 896-6400
Mailing address
34060 W 87TH ST, DE SOTO, KS 66018-8142
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800183
KS
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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