Most Relevant Information
Provider Data
| NPI Number: | 1003551003 |
| Provider Name: | STEPHANIE MENENDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 465939 |
Most Important Dates
| Enumeration Date: | 05/03/2022 |
| Last Updated: | 05/03/2022 |
Provider Practice Location
1360 S ANAHEIM BLVD STE 150
ANAHEIM
CA
928056205
Practice Location Phone/Fax
| Phone: | 7147761231 |
| Fax: | 7147760802 |
Provider Mailing Location
1360 S ANAHEIM BLVD STE 150
ANAHEIM
CA
928056205
Provider Mailing Phone/Fax
| Phone: | 7147761231 |
| Fax: | 7147760802 |