Individual
ANDREA MICHELLE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 GREGG WAY UNIT D, CHEYENNE, WY 82009-5465
(307) 757-5647
Mailing address
PO BOX 21824, CHEYENNE, WY 82003-7085
(307) 757-5647
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
891
WY
385H00000X
Respite Care
120751200
WY
Other
Enumeration date
09/01/2007
Last updated
04/11/2018
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