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NPI Code Detail

MEDICARE: STEPHANIE HENDSON OTR/L

MEDICARE:   STEPHANIE  HENDSON  OTR/L
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
1225X00000XOccupational Therapist17385CA

General Provider Information

NPI Number : 1245733849
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE HENDSON OTR/L
Provider Business Mailing Address
First Line : 4960 BRIDGEPOINTE PL
Second Line :
City : UNION CITY
State : CA
Zip : 94587-5566
Country : US
Telephone Number : 510-676-6180
Fax Number :
Provider Business Practice Location Address
First Line : 809 FREMONT AVE
Second Line :
City : LOS ALTOS
State : CA
Zip : 94024-5617
Country : US
Telephone Number : 510-676-6180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2018
Last Update Date : 01/18/2022

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Directions to “ STEPHANIE HENDSON OTR/L” Practice Location

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