Individual
MRS. JACKIE DIANE STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
11026 ASBURY CHAPEL RD, HUNTERSVILLE, NC 28078-4625
(704) 575-4222
Mailing address
11026 ASBURY CHAPEL RD, HUNTERSVILLE, NC 28078-4625
(704) 575-4222
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
12/02/2011
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