Individual
DANA STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3941 E BASELINE RD STE 101, GILBERT, AZ 85234-2750
(480) 577-2484
Mailing address
4834 E HANNIBAL CIR, MESA, AZ 85205-4258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008469
AZ
225X00000X
Occupational Therapist
Primary
OTH-008469
AZ
Other
Enumeration date
09/20/2021
Last updated
05/24/2023
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