Stephanie Bray Phonesavanh, OTRL Valid NPI

Individual provider · Occupational Therapist · Statham, GA

NPI

1841578531

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

OT003414 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-07-28

Last updated

2011-07-28