Individual
STEPHANIE MATHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY, SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
6352 HESSEN RD, IRA, MI 48023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007555
MI
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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