Individual
MS. STEPHANIE JEAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2141 SYCAMORE AVE, LOUISVILLE, KY 40206-2013
(502) 895-3154
Mailing address
2141 SYCAMORE AVE, LOUISVILLE, KY 40206-2013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32001859A
IN
224Z00000X
Occupational Therapy Assistant
Primary
A4086
KY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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