Provider Demographics
NPI:1164660189
Name:MCAFEE, STEPHANIE ELLIOTT (COTA)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ELLIOTT
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:ELLIOTT
Other - Last Name:MCAFEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA
Mailing Address - Street 1:102 CREEKPOINT RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-810-8550
Mailing Address - Fax:
Practice Address - Street 1:2448 MILITARY ST SOUTH
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570
Practice Address - Country:US
Practice Address - Phone:205-921-2859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1471224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant