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

MRS. MARY ELLEN STEPHENSON, BSPT

Active Sole Proprietor

MRS. MARY ELLEN STEPHENSON, BSPT is a Pediatric Occupational Therapy healthcare provider located in MOUNTAIN GROVE, Missouri. NPI 1831222363 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · MOUNTAIN GROVE, MO

Registration Details

NPI Number
1831222363
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.234805884094 yrs)
Last Updated
May 11, 2017
Licenses
00476 (MO)
00476 (MO)
00476 (MO)
Sole Proprietor
Yes

Practice Information

Address
502 W 5TH ST
MSSD SKYVIEW SCHOOL #30
MOUNTAIN GROVE, MO, 657111435
Browse MO providers · Browse ZIP 65711
Phone
4179264880
Fax
4179265044
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Additional Specialty
Hand Therapy
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.