Individual
SUSAN GAIL STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5520
(417) 269-5508
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5520
(417) 269-5508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004842
MO
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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