ERICA SAMPLE STASNY

WOODSTOCK, GA
NPI1316770324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005760)
Enumeration Date2024-08-23
Last Update Date2024-08-23
Business Address
ERICA SAMPLE STASNY OTR/L
6884 HICKORY FLAT HWY
WOODSTOCK, GA 30188-3229
Phone number: 770-704-8244
Mailing Address
ERICA SAMPLE STASNY OTR/L
234 PARC DR
CANTON, GA 30114-7741
Phone number: 803-608-2527