Individual
MRS. STEPHANIE J TEODOSIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
6847 N CHESTNUT ST, SUITE 100, RAVENNA, OH 44266-3929
(330) 297-2770
(330) 297-8833
Mailing address
533 E MAIN ST, RAVENNA, OH 44266-3218
(330) 297-9020
(330) 297-9095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003544
OH
225X00000X
Occupational Therapist
Primary
1002046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003544
OHIO OT PT ATC BOARD
OH
Enumeration date
10/25/2005
Last updated
07/08/2007
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