Individual
STEVEN JOSEPH STOKLOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT R
Contact information
Practice address
155 LELAND FERRELL DR, LEESBURG, GA 31763-4559
(229) 446-0692
Mailing address
155 LELAND FERRELL DR, LEESBURG, GA 31763-4559
(229) 446-0692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003952
GA
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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