MEDICARE: MRS. STEPHANIE M HESSLER OT

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	109364	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831203280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE M HESSLER OT

Provider Business Mailing Address
First Line	:	2903B N AZALEA ST
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-4114
Country	:	US
Telephone Number	:	361-576-0884
Fax Number	:	361-576-3257

Provider Business Practice Location Address
First Line	:	2903B N AZALEA ST
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-4114
Country	:	US
Telephone Number	:	361-576-0884
Fax Number	:	361-576-3257

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/26/2014

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