Donovan, Stephanie

Donovan, Stephanie is an individual health care provider with primary practice located at 598 Indian Trail Rd S Suite 141, Indian Trail NC 28079-8689. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Donovan, Stephanie can be contacted via phone (704) 975-7008.

Contact Information

Primary practice address
598 Indian Trail Rd S Suite 141 Indian Trail NC 28079-8689
Phone: (704) 975-7008
Fax: (704) 821-0570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 6340 North Carolina

Profile Details

NPI number 1780736017
LBN Legal business name Donovan, Stephanie
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780736017 NPPES
North Carolina MEDICAID 7301972

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