Search › Georgia › 225X00000X
Stephanie Phonesavanh, OTRL
NPI 1841578531 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1081 Ashland Dr
Statham, GA 30666 - Phone
- (770) 725-9856
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-28
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