Individual
STEPHANIE MANNING CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 DOUTHIT FERRY RD, CARTERSVILLE, GA 30120
(404) 798-6892
Mailing address
502 RIVERBIRCH CT, ROCKMART, GA 30153-8229
(678) 640-1907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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