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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEANNA STEVENSON

Active Sole Proprietor

KEANNA STEVENSON is a Occupational Therapy Assistant healthcare provider located in BLACKSTOCK, South Carolina. NPI 1053046326 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BLACKSTOCK, SC

Registration Details

NPI Number
1053046326
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2022 (4.069339269439 yrs)
Last Updated
Jul 20, 2022
Sole Proprietor
Yes

Practice Information

Address
5910 SWEET PROSPECT RD
BLACKSTOCK, SC, 290148631
Browse SC providers · Browse ZIP 29014
Phone
8038993510
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.