Individual
STEPHANIE LAURENCE CHERUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
3024 HIDDEN FOREST CT UNIT 6314, MARIETTA, GA 30066-3160
(862) 888-2806
(678) 461-9804
Mailing address
3024 HIDDEN FOREST CT UNIT 6314, MARIETTA, GA 30066-3160
(862) 888-2806
(678) 461-9804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022657
NY
225X00000X
Occupational Therapist
Primary
OT007583
GA
225XP0200X
Pediatric Occupational Therapist
022657
NY
Other
Enumeration date
10/13/2018
Last updated
01/03/2024
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