Individual
STEPHANIE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 SOUTH ST, PATASKALA, OH 43062-6014
(740) 927-3941
Mailing address
927 SOUTH ST, PATASKALA, OH 43062-6014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5085
OH
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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