Individual
MRS. STEPHANIE ANN LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
1000 TANDAL PL, KNIGHTDALE, NC 27545-8842
(919) 266-7744
Mailing address
101 AVENEL LN, CLAYTON, NC 27527-6652
(701) 897-1703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2823
NC
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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