Individual
JENNIFER STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5 WYMAN ST, WEBSTER, MA 01570-3562
(404) 702-7540
Mailing address
5 WYMAN ST, WEBSTER, MA 01570-3562
(404) 702-7540
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3455
MA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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