Individual
STEPHANIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 DAVID ST APT 4408, NORTH MYRTLE BEACH, SC 29582-7605
(864) 650-3947
Mailing address
1100 DAVID ST APT 4408, NORTH MYRTLE BEACH, SC 29582-7605
(864) 650-3947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3382
SC
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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