Individual
MRS. STEPHANIE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
598 INDIAN TRAIL RD S, SUITE 141, INDIAN TRAIL, NC 28079-8689
(704) 975-7008
(704) 821-0570
Mailing address
598 INDIAN TRAIL RD S, SUITE 141, INDIAN TRAIL, NC 28079-8689
(704) 975-7008
(704) 821-0570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6340
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301972
—
NC
Enumeration date
01/17/2007
Last updated
04/08/2009
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