DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHANIE TEAGUE

MEDICARE: STEPHANIE TEAGUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist13860CA

General Provider Information

NPI Number : 1144157322
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE TEAGUE
Provider Business Mailing Address
First Line : 1826 SAN LUIS RANCH RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-1566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1500 LIZZIE ST
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-3062
Country : US
Telephone Number : 805-549-1220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

Similar Medicare Providers

1407394711 — SHELLY LICCIARDI SLP
Practice Location Address:
1500 LIZZIE ST
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-596-4040
Practice Fax:
1033261961 — SAN LUIS COASTAL UNIFIED SCHOOL DISTRICT
Practice Location Address:
1500 LIZZIE ST # F-1
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-549-1331
Practice Fax:
1275149205 — ALAN E STEHLI MS
Practice Location Address:
1500 LIZZIE ST
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-549-1200
Practice Fax:
1184424590 — MRS. ANGELA MARIE RYALS MA,PPS-SC
Practice Location Address:
1500 LIZZIE ST
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-549-1218
Practice Fax:
1770374035 — MICHELLE MARIE MISSLER MA/PPS
Practice Location Address:
1500 LIZZIE ST
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-549-1200
Practice Fax:
1831982792 — KATHERINE RYAN EDS
Practice Location Address:
1500 LIZZIE ST
SAN LUIS OBISPO, CA
93401-3062
Practice Phone: 805-549-1220
Practice Fax:

Directions to “ STEPHANIE TEAGUE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.