Individual
STEPHANIE DEANNA LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
144 ANCHOR POINT DR, EATONTON, GA 31024-7917
(706) 485-1021
Mailing address
144 ANCHOR POINTE DR, EATONTON, GA 31024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 2813
OH
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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