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STEPHANIE DANIELLE PRIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
419 N SEMINARY ST, MADISONVILLE, KY 42431-1515
(270) 821-5564
Mailing address
762 PLAINVIEW DR, MADISONVILLE, KY 42431-3118
(270) 584-5429

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
172404
KY

Other

Enumeration date
09/19/2017
Last updated
09/19/2017
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