Provider Demographics
NPI:1720336050
Name:ARMBRUSTER, STEPHANIE HENNING (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:HENNING
Last Name:ARMBRUSTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:SUZANNE
Other - Last Name:HENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5730 LAFAYETTE RD.
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4909
Mailing Address - Country:US
Mailing Address - Phone:330-722-2415
Mailing Address - Fax:330-722-9684
Practice Address - Street 1:5730 LAFAYETTE RD.
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44212-2559
Practice Address - Country:US
Practice Address - Phone:330-722-2415
Practice Address - Fax:330-722-9684
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 8028225X00000X
OH225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist