Individual
TERESA STOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PARK CITY RD, ROSSVILLE, GA 30741-3980
(706) 858-2702
Mailing address
110 PARK CITY RD, ROSSVILLE, GA 30741-3980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001212
GA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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