MEDICARE: STEPHANIE D. MANEY

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
1	225X00000X	Occupational Therapist	OT006483	OH

General Provider Information

NPI Number	:	1245926021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE D. MANEY

Provider Business Mailing Address
First Line	:	7137 BRECKSVILLE RD
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-5303
Country	:	US
Telephone Number	:	216-333-6572
Fax Number	:

Provider Business Practice Location Address
First Line	:	4120 INTERCHANGE CORPORATE CENTER RD
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5631
Country	:	US
Telephone Number	:	216-333-6572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/19/2023

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