Most Relevant Information
Provider Data
| NPI Number: | 1003220609 |
| Provider Name: | STEPHANIE MALONE OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 008665-1 |
Most Important Dates
| Enumeration Date: | 06/12/2014 |
| Last Updated: | 06/12/2014 |
Provider Practice Location
2596 BAIRD RD
PENFIELD
NY
145262333
Practice Location Phone/Fax
| Phone: | 5853836648 |
| Fax: |
Provider Mailing Location
367 WHITNEY RD
PENFIELD
NY
145262329
Provider Mailing Phone/Fax
| Phone: | 5854512915 |
| Fax: |