Individual
KARRA KEITH STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
273 QUILLIAN ST, CLEVELAND, GA 30528-1464
(706) 865-6800
Mailing address
4617 BROKEN ARROW PATH, GAINESVILLE, GA 30506-7514
(770) 539-3081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT004430
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT004430
GA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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