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NPI Code Detail

MEDICARE: STEPHANIE SKALA OTR/L

MEDICARE: STEPHANIE SKALA 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 TherapistOTH-008063AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTH-008063OTHERAZSTATE LICENSE

General Provider Information

NPI Number : 1942837539
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SKALA OTR/L
Provider Business Mailing Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-972-0212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/24/2020

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Directions to “ STEPHANIE SKALA OTR/L” Practice Location

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