Individual
STEPHANIE FARVER RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4249 CARTERS LAKE DR, BUFORD, GA 30519-1864
(404) 414-6415
Mailing address
4249 CARTERS LAKE DR, BUFORD, GA 30519-1864
(404) 414-6415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006475
GA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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