Individual
STEPHANIE ALICE TERRELL
Active
Individual
STEPHANIE ALICE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00306-G
RI
225X00000X
Occupational Therapist
Primary
OT011650
OH
225X00000X
Occupational Therapist
OT01914
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
01
—
OT00306-G
RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
09/08/2020
Last updated
08/02/2021
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