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1174175731
STEPHANIE SAMANTHA GIBSON
CUMMING, GA
NPI
1174175731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT007302)
Enumeration Date
2019-07-14
Last Update Date
2022-01-24
Business Address
Mrs. STEPHANIE SAMANTHA GIBSON OTR/L
5310 MATT HWY STE 105
CUMMING, GA 30028-8611
Phone number: 470-239-4255
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Mailing Address
Mrs. STEPHANIE SAMANTHA GIBSON OTR/L
6397 LEE HWY
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-3473
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