Individual
STEPHANIE LYNNE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E BROAD ST, COLUMBUS, OH 43213-1476
(614) 575-9003
(614) 575-9101
Mailing address
573 STATION RD, APT 12, COLUMBUS, OH 43228-2284
(937) 479-7336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05637
OH
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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