Individual
ELIZA STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 791-5688
(513) 791-0023
Mailing address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 791-5688
(513) 791-0023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010488
OH
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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