MEDICARE: STEPHANIE LOWREY

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	16981	NC

General Provider Information

NPI Number	:	1689408338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LOWREY

Provider Business Mailing Address
First Line	:	314 W JONES ST APT 349
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-8061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 N WEBB ST
Second Line	:
City	:	SELMA
State	:	NC
Zip	:	27576-2841
Country	:	US
Telephone Number	:	919-938-9088
Fax Number	:

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

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	08/27/2024

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Directions to “ STEPHANIE LOWREY ” Practice Location

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