Individual
STEPHANIE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
187 NINTH STREET, JENA, LA 71342-2780
(319) 992-9200
(318) 992-9280
Mailing address
187 NINTH STREET, PO BOX 2780, JENA, LA 71342-2780
(319) 992-9200
(318) 992-9280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20519
LA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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