Individual
STEPHANIE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
11 FLEWELLEN DR, STAFFORD, VA 22554-7829
(540) 809-6121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000835
VA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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