Individual
STEPHANIE COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20902 BAKE PKWY, SUITE 100, LAKE FOREST, CA 92630-2175
(949) 600-5437
(949) 600-5439
Mailing address
18 BREEZY MDWS, RANCHO SANTA MARGARITA, CA 92688-8522
(949) 766-8707
(949) 713-9197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 706
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT706
CA
Other
Enumeration date
03/16/2007
Last updated
10/18/2011
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