Individual
STACEY MICHELLE FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 AUTUMN CREST TRL, ROCK SPRING, GA 30739-2095
(706) 375-1117
Mailing address
100 AUTUMN CREST TRL, ROCK SPRING, GA 30739-2095
(706) 375-1117
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001273
GA
224Z00000X
Occupational Therapy Assistant
1930
TN
Other
Enumeration date
03/17/2013
Last updated
03/17/2013
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