Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5275 | NC |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5275 | NC |
NPI | 1316248008 |
---|---|
Provider Name | Ms. Stephanie B Alper |
First Address | Elizabethtown, NC 28337-6139 |
Second Address | Elizabethtown, NC 28337-6139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 11/11/2010 |