Individual
STEPHANIE MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4160 LITTLE YORK RD STE 10, DAYTON, OH 45414-5803
(937) 415-9100
(937) 415-9191
Mailing address
6551 CENTERVILLE BUSINESS PKWY STE 120, CENTERVILLE, OH 45459-2696
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493624
—
OH
Enumeration date
06/02/2022
Last updated
06/09/2025
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