Individual
STEPHANIE LYNN HEALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Mailing address
25458 DAN BROWN HILL RD, BROOKSVILLE, FL 34602-8276
(352) 238-0128
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OTA 11839
FL
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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