MEDICARE: STEPHANIE L HILL 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
1	225X00000X	Occupational Therapist	12587	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1659559425	OTHER	MD	MEIDCAID, MEDICARE, HMO

General Provider Information

NPI Number	:	1659559425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE L HILL OTR/L

Provider Business Mailing Address
First Line	:	1750 N BAYSHORE DR
Second Line	:	APT 2502
City	:	MIAMI
State	:	FL
Zip	:	33132-3209
Country	:	US
Telephone Number	:	610-457-1173
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 N BAYSHORE DR
Second Line	:	APT 2502
City	:	MIAMI
State	:	FL
Zip	:	33132-3209
Country	:	US
Telephone Number	:	610-457-1173
Fax Number	:

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

Provider Enumeration Date	:	02/04/2008
Last Update Date	:	12/20/2020

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