Individual
STEPHANIE GRACE PAREKH FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, OTR/L
Contact information
Practice address
740 PRINCE AVE, BUILDING 2, ATHENS, GA 30606
(706) 367-1141
Mailing address
140 TIMBERLANE DR, ATHENS, GA 30606-2400
(678) 591-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007051
STATE LICENSE
GA
Enumeration date
06/30/2018
Last updated
03/17/2024
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