Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE MCHENRY MOORE, COTA/L
ActiveSTEPHANIE MCHENRY MOORE, COTA/L is a Occupational Therapy Assistant healthcare provider located in FAYETTEVILLE, Georgia. NPI 1508591124 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1508591124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2022 (4.034451763565 yrs)
- Last Updated
- Jul 18, 2022
- License
-
OTA000570 (GA)
Practice Information
- Address
-
101 DEVANT ST STE 703FAYETTEVILLE, GA, 302142717Browse GA providers · Browse ZIP 30214
- Phone
- 7708476760
- Fax
- 4043936718
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIE PIERRE GRETCHAIDA LOUIS | COTA/L | 1083992069 |
| MELISSA LORRAINE COLEY | COTA/L | 1750660072 |
| ELIZABETH G WOODALL | — | 1972345502 |
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.