MEDICARE: STEPHANIE CHAPMAN

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

General Provider Information

NPI Number	:	1154050821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE CHAPMAN

Provider Business Mailing Address
First Line	:	850 TOWBIN AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5928
Country	:	US
Telephone Number	:	732-515-3709
Fax Number	:

Provider Business Practice Location Address
First Line	:	2042 PEMBERTON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1319
Country	:	US
Telephone Number	:	610-331-5687
Fax Number	:

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

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	06/08/2022

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Directions to “ STEPHANIE CHAPMAN ” Practice Location

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