Individual
STEPHANIE MITCHELL WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
13540 17TH ST, DADE CITY, FL 33525-5244
(352) 437-5151
(813) 212-3870
Mailing address
5809 JUSTICIA LOOP, LAND O LAKES, FL 34639-2711
(281) 798-2391
(813) 212-3870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20406
FL
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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