Individual
STEPHANIE EGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
PO BOX 151, AUGUSTA, NJ 07822-0151
(973) 300-9718
Mailing address
9 DOGWOOD DR, LONG VALLEY, NJ 07853-3308
(908) 892-5336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00930400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237377601
TAX ID
NJ
Enumeration date
05/18/2021
Last updated
01/23/2025
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