Individual
STEPHANIE L. KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1370 BUFORD HWY STE 108, CUMMING, GA 30041-2723
(770) 205-1669
(770) 205-1671
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00000963
WA
225X00000X
Occupational Therapist
Primary
OT005646
GA
Other
Enumeration date
10/21/2005
Last updated
04/11/2013
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