Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 07890 | MD |
N | 225X00000X | Occupational Therapist | 119593 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1295230712 |
---|---|
Provider Name | Ms. Stephanie Neal |
First Address | Fort Washington, MD 20744-6057 |
Second Address | Fort Washington, MD 20744-6057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2018 |
Last Update Date | 23/01/2019 |