Individual
STEPHANIE MAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1160 HAMMOND DR, UNIT 144, ATLANTA, GA 30328-5473
(703) 470-0748
Mailing address
1160 HAMMOND DR, UNIT 144, ATLANTA, GA 30328-5473
(703) 470-0748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004915
VA
225X00000X
Occupational Therapist
OT006159
GA
225X00000X
Occupational Therapist
OT14994
FL
Other
Enumeration date
05/27/2010
Last updated
07/06/2015
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