Loren Carroll Stephenson

NPI #1184120719 in Gary, Texas

Provider Information

NPI Number
1184120719
Entity Type
Individual
Name
Loren Carroll Stephenson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Apr 3, 2018
Last Updated
Apr 3, 2018

Practice Location

Address
4452 FM 10
City
Gary
State
Texas
ZIP Code
75643-4310
Phone
(903) 690-1513

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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