Individual
STEPHANIE PASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
34 GARDEN ROW DR S, HARDEEVILLE, SC 29927-4163
(201) 953-5423
Mailing address
34 GARDEN ROW DR S, HARDEEVILLE, SC 29927-4163
(201) 953-5423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5006
SC
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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