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Individual

STEPHANIE EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
2801 TURNPIKE RD, PORTSMOUTH, VA 23707-4630
(757) 393-8808
Mailing address
100 RUNAWAY BAY DRIVE, BUILDING 105 APT 310, VIRGINIA BEACH, VA 23452
(518) 536-2353

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008669
VA

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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