Individual
STACY HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2065 GRAYSON HWY STE B, GRAYSON, GA 30017-1766
(678) 376-0213
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008475
GA
Other
Enumeration date
07/25/2022
Last updated
07/26/2023
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