Individual
CHRISTINA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 BROAD ST, AUGUSTA, GA 30901-1289
(706) 922-0186
Mailing address
560 HUNTERDALE RD, EVANS, GA 30809-3632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004453
GA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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