Individual
MRS. STEPHANIE DIANNE SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5416 E LAKE RD, ERIE, PA 16511-1427
(814) 899-8600
(814) 898-1910
Mailing address
5416 E LAKE RD, ERIE, PA 16511-1427
(814) 899-8600
(814) 898-1910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006788
PA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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