Individual
MRS. NICOLE STEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
710 OBRECHT RD, ELDERSBURG, MD 21784-7650
(410) 795-8808
Mailing address
1206 MILLSTONE CT, ELDERSBURG, MD 21784-8309
(814) 404-8261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02118
MD
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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