Individual
MS. STEPHANIE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-7733
(828) 669-6473
Mailing address
106 TORRINGTON AVE APT D, FLETCHER, NC 28732-5633
(828) 226-5113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12537
NC
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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