Organization
COMPLEAT PEDIATRIC THERAPY
Active
Organization
COMPLEAT PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON STEPHENS OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(404) 213-2609
Entity
Organization
Contact information
Practice address
5810 RAVENTREE CT, COLLEGE PARK, GA 30349-1684
(404) 213-2609
Mailing address
5810 RAVENTREE CT, COLLEGE PARK, GA 30349-1684
(404) 213-2609
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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