Individual
CARRLEE DELORES STAINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
805 OAKHURST DR STE A, EVANS, GA 30809-3712
(706) 831-1128
(770) 230-0157
Mailing address
805 OAKHURST DR STE A, EVANS, GA 30809-3712
(706) 831-1128
(770) 230-0157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009061
GA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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