STEPHANIE CRISWELL

KENNESAW, GA
NPI1417291980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001167)
Enumeration Date2012-11-21
Last Update Date2012-11-23
Business Address
-- STEPHANIE CRISWELL
1312 TREES OF KENNESAW PKWY NW
KENNESAW, GA 30152-7657
Phone number: 814-574-5460
Mailing Address
-- STEPHANIE CRISWELL
1312 TREES OF KENNESAW PKWY NW
KENNESAW, GA 30152-7657
Phone number: 814-574-5460
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