Individual
STEPHANIE BRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 W BROADWAY ST STE 214, OVIEDO, FL 32765-9262
(407) 359-5693
Mailing address
1000 W BROADWAY ST STE 214, OVIEDO, FL 32765-9262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16089
FL
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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