Individual
SHANNON STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5810 RAVENTREE CT, COLLEGE PARK, GA 30349-1684
(404) 202-3113
Mailing address
5810 RAVENTREE CT, COLLEGE PARK, GA 30349-1684
(404) 202-3113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006187
GA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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