Individual
KARLYE STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7130 HODGSON MEMORIAL DR STE 100, SAVANNAH, GA 31406-1527
(912) 355-3392
Mailing address
113 HAMMOCKS VW, SAVANNAH, GA 31410-5026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6053
SC
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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