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NPI Code Detail

MEDICARE: STEPHANIE PAUL

MEDICARE: STEPHANIE PAUL
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
1225100000XPhysical TherapistPT021504OH

General Provider Information

NPI Number : 1093672594
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE PAUL
Provider Business Mailing Address
First Line : 105 RIDGE SIDE DR
Second Line :
City : POWELL
State : OH
Zip : 43065-9665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5930 CORNERSTONE CT W STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-3772
Country : US
Telephone Number : 858-252-6166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ STEPHANIE PAUL ” Practice Location

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