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

MRS. STEPHANIE BRAY PHONESAVANH, OTRL

Active Sole Proprietor

MRS. STEPHANIE BRAY PHONESAVANH, OTRL is a Occupational Therapist healthcare provider located in STATHAM, Georgia. NPI 1841578531 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · STATHAM, GA

Registration Details

NPI Number
1841578531
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2011 (14.866388874243 yrs)
Last Updated
Jul 28, 2011
License
OT003414 (GA)
Sole Proprietor
Yes

Practice Information

Address
1081 ASHLAND DR
STATHAM, GA, 306663403
Browse GA providers · Browse ZIP 30666
Phone
7707259856
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in STATHAM, GA

Name Credential NPI
MRS. MARIANNE BEVILACQUA-HARDING 1053508713
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.