Individual
GRANT STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 OGLETHORPE PROFESSIONAL CT, SAVANNAH, GA 31406-3623
(912) 349-6237
Mailing address
109 OGLETHORPE PROFESSIONAL CT, SAVANNAH, GA 31406-3623
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008007
GA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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