Individual
STEPHANIE SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0119005324
VA
174400000X
Specialist
11449
MA
174400000X
Specialist
OT006182
GA
225X00000X
Occupational Therapist
Primary
OT006182
GA
Other
Enumeration date
10/20/2015
Last updated
03/03/2016
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