Provider Demographics
NPI:1972929842
Name:PASCAL, STEPHANIE ELVIRA (OTR)
Entity type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:ELVIRA
Last Name:PASCAL
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3501 MALL VIEW RD STE 115-274
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3058
Mailing Address - Country:US
Mailing Address - Phone:661-319-9713
Mailing Address - Fax:661-873-0206
Practice Address - Street 1:3501 MALL VIEW RD
Practice Address - Street 2:SUITE 115-274
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3058
Practice Address - Country:US
Practice Address - Phone:661-319-9713
Practice Address - Fax:661-873-0206
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-14
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation