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Contact Information

STEPHANIE A ELMORE, OT
111 DAVIS STUART ROAD
RONCEVERTE, WV24970
 Phone: 304-647-3987
 Fax: 304-647-3990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEPHANIE A ELMORE · (Female)

NPI Number 1124217864
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 10/18/2007
Last updated 05/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 1341
  • WV Medicaid 172V00000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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