Individual
MRS. STACEY RENEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
2000 PALMYRA RD, ALBANY, GA 31701-1528
(229) 434-2580
Mailing address
2421 GA HIGHWAY 313, SYLVESTER, GA 31791-7434
(229) 777-9539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004223
GA
Other
Enumeration date
12/12/2006
Last updated
06/16/2017
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