Individual
STEPHANIE WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5350 E TAYLOR ST, APT 132, PHOENIX, AZ 85008-6746
(260) 251-9087
Mailing address
5350 E TAYLOR ST, APT 132, PHOENIX, AZ 85008-6746
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6486
AZ
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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