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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE CRISWELL

Active Sole Proprietor

STEPHANIE CRISWELL is a Occupational Therapy Assistant healthcare provider located in KENNESAW, Georgia. NPI 1417291980 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · KENNESAW, GA

Registration Details

NPI Number
1417291980
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2012 (13.691416234956 yrs)
Last Updated
Nov 23, 2012
License
OTA001167 (GA)
Sole Proprietor
Yes

Practice Information

Address
1312 TREES OF KENNESAW PKWY NW
KENNESAW, GA, 301527657
Browse GA providers · Browse ZIP 30152
Phone
8145745460
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in KENNESAW, GA

Name Credential NPI
TAMMY DAVIS COTA 1871862383
ROBIN WHITE OTA 1821356783
KRISTIN HYATT COTA/L 1841747094
ELISE LATTIMORE 1205371622
TANISHA FRANKLIN OTA002127 1487153201
ASHLEY MARIE RUTLAND COTA 1962969014
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.