Provider Demographics
NPI:1700136314
Name:FINNEGAN, STEFANI R (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:STEFANI
Middle Name:R
Last Name:FINNEGAN
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 1:5879 TYLER RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6866
Mailing Address - Country:US
Mailing Address - Phone:845-239-5522
Mailing Address - Fax:
Practice Address - Street 1:5879 TYLER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-6866
Practice Address - Country:US
Practice Address - Phone:845-239-5522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7893870224Z00000X
NY024081225X00000X
FL20415225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant