Individual
MISS STEPHANIE LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4613 BEE CAVE RD, WEST LAKE HILLS, TX 78746-5203
(512) 306-1707
(512) 306-7380
Mailing address
PO BOX 162904, AUSTIN, TX 78716-2904
(512) 306-1707
(512) 306-7380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113728
TX
225XP0200X
Pediatric Occupational Therapist
Primary
113728
TX
Other
Enumeration date
08/30/2010
Last updated
08/15/2014
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