Individual
DANA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
224 FINKS HIDEAWAY RD APT 67, MONROE, LA 71203-2392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200009
LA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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