Individual
SARAH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3803 PEACHTREE AVE, WILMINGTON, NC 28403-6727
(910) 313-2111
Mailing address
1501 MARBLEHEAD CT, WILMINGTON, NC 28412-2084
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5191
NC
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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