Individual
MICHELLE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
424 FOXPORT DR, CHAPIN, SC 29036-7544
(803) 708-4667
Mailing address
424 FOXPORT DR, CHAPIN, SC 29036-7544
(803) 708-4667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3424
SC
Other
Enumeration date
10/23/2013
Last updated
04/19/2017
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