Individual
STEPHANIE LYNN DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12936
CA
Other
Enumeration date
12/04/2012
Last updated
05/14/2018
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