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NPI Code Detail

MEDICARE: MRS. STEPHANIE ANN VIAU OTR/L

MEDICARE:  MRS. STEPHANIE ANN VIAU  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 Therapist5201007324MI

General Provider Information

NPI Number : 1316418825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE ANN VIAU OTR/L
Provider Business Mailing Address
First Line : 5178 WILLIAM 19.7 DR
Second Line :
City : GLADSTONE
State : MI
Zip : 49837-9021
Country : US
Telephone Number : 906-280-3864
Fax Number :
Provider Business Practice Location Address
First Line : 2420 1ST AVE S # 102
Second Line :
City : ESCANABA
State : MI
Zip : 49829-1309
Country : US
Telephone Number : 906-789-1305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2018
Last Update Date : 12/10/2018

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Directions to “ MRS. STEPHANIE ANN VIAU OTR/L” Practice Location

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