Stephanie Moore, COTA/L

NPI 1508591124 · on the registry since 2022

Practice

Address: 101 Devant St Ste 703
Fayetteville, GA 30214
Phone: (770) 847-6760
Fax: (404) 393-6718
Organisation at this address: S R Holdings Llc
C H Martin Company
Robert L Clemons Ii
Priority Hospice Llc
Caedel Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia