Individual
STEPHANIE DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1475 HOLCOMB BRIDGE RD STE 113, ROSWELL, GA 30076-2126
(678) 591-3542
Mailing address
1842 BISHOPS GREEN DR, MARIETTA, GA 30062-6079
(404) 245-3282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006990
GA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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