Individual
STEPHANIE JILL UNGARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
(864) 984-6464
Mailing address
114 EFFIE DR, GREENWOOD, SC 29649-9558
(864) 323-6635
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2749
SC
224Z00000X
Occupational Therapy Assistant
9640
FL
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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