Provider Demographics
NPI:1558664342
Name:MCCLOSKEY, STEPHANIE ACCARDO (MOT, LOTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ACCARDO
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:MOT, LOTR, CHT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:ACCARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, LOTR, CHT
Mailing Address - Street 1:5012 WADE DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-2750
Mailing Address - Country:US
Mailing Address - Phone:504-352-6285
Mailing Address - Fax:
Practice Address - Street 1:7003 HIGHWAY 190 EAST SERVICE RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4955
Practice Address - Country:US
Practice Address - Phone:985-801-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200385225XH1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
521740OtherCLINIC PTAN
1053763979OtherNPI FOR ACCELERATED HAND SOLUTIONS
7568610001OtherCLINIC DME PTAN
LAOTT.200385OtherSTATE LICENSE
LA269274ZV4BOtherMEDICARE PTAN NUMBER