Individual
MOLLY C STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5372
(912) 644-5260
Mailing address
210 E DE RENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5372
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004208
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT004208
OT LICENSE
GA
Enumeration date
02/07/2007
Last updated
07/08/2007
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