Individual
OLIVIA STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SUN VALLEY DR STE P1, ROSWELL, GA 30076-5633
(770) 462-0438
Mailing address
170 ANSLEY WAY, ROSWELL, GA 30075-6878
(904) 657-1579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009504
GA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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