Individual
STEPHANIE RAYE FAIN-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
168 S MILLER RD APT 4, FAIRLAWN, OH 44333-4123
(234) 678-8733
Mailing address
168 S MILLER RD APT 4, FAIRLAWN, OH 44333-4123
(234) 678-8733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA #00810
OH
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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