Individual
MRS. STEPHANIE RENE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5232 YELLOWTAIL LN NW, KENNESAW, GA 30152-2843
(404) 388-8711
(770) 438-7536
Mailing address
5232 YELLOWTAIL LN NW, KENNESAW, GA 30152-2843
(404) 388-8711
(770) 438-7536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002644
GA
Other
Enumeration date
12/18/2006
Last updated
03/11/2020
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