Provider Demographics
NPI:1659559425
Name:HILL, STEPHANIE L (OTR/L)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 N BAYSHORE DR
Mailing Address - Street 2:APT 2502
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3209
Mailing Address - Country:US
Mailing Address - Phone:610-457-1173
Mailing Address - Fax:
Practice Address - Street 1:1750 N BAYSHORE DR
Practice Address - Street 2:APT 2502
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3209
Practice Address - Country:US
Practice Address - Phone:610-457-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12587225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1659559425OtherMEIDCAID, MEDICARE, HMO