STEPHANIE CRISWELL

Occupational Therapy Assistant

Active Individual
NPI: 1417291980

Practice Address

1312 TREES OF KENNESAW PKWY NW
Kennesaw, GA 30152

Phone: (814) 574-5460

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes OTA001167 (GA)

Frequently Asked Questions

NPI 1417291980 is the National Provider Identifier for STEPHANIE CRISWELL, a Occupational Therapy Assistant provider located in Kennesaw, GA. This NPI was enumerated on November 21, 2012.
STEPHANIE CRISWELL practices at 1312 TREES OF KENNESAW PKWY NW, Kennesaw, GA 30152.

Quick Facts

NPI
1417291980
Type
Individual
Enumerated
Nov 21, 2012
Last Updated
Nov 23, 2012

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