Individual
MS. STEFANY LYNN LA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3600 34TH ST S, ST PETERSBURG, FL 33711-3800
(813) 346-1002
(813) 200-3370
Mailing address
105 N 5TH AVENUE, MADILL, OK 73446
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10648
FL
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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