Individual
STEPHANIE LATRICE LEMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4728 WINDERMERE CT, APT 101, VIRGINIA BEACH, VA 23455-6345
(757) 965-3382
Mailing address
4728 WINDERMERE CT, APT 101, VIRGINIA BEACH, VA 23455-6345
(757) 965-3382
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000125
VA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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