STEPHANIE MCHENRY MOORE

FAYETTEVILLE, GA
NPI1508591124
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA000570)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
STEPHANIE MCHENRY MOORE COTA/L
101 DEVANT ST STE 703
FAYETTEVILLE, GA 30214-2717
Phone number: 770-847-6760
Mailing Address
STEPHANIE MCHENRY MOORE COTA/L
101 DEVANT ST STE 703
FAYETTEVILLE, GA 30214-2717
Phone number: 770-847-6760