Individual
AMBER MARIE MINK STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
Mailing address
835 ISOM RD, SAN ANTONIO, TX 78216-4035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10623
NC
225X00000X
Occupational Therapist
117338
TX
Other
Enumeration date
02/10/2016
Last updated
08/12/2019
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