MRS. Stephanie Bray Phonesavanh, OTRL

NPI #1841578531 in Statham, Georgia

Provider Information

NPI Number
1841578531
Entity Type
Individual
Name
MRS. Stephanie Bray Phonesavanh, OTRL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTRL
Enumeration Date
Jul 28, 2011
Last Updated
Jul 28, 2011

Practice Location

Address
1081 ASHLAND DR
State
Georgia
ZIP Code
30666-3403
Phone
(770) 725-9856

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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