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STACEY MICHELLE FOLEY

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124360185

Individual Registrant:
 STACEY MICHELLE FOLEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
100 AUTUMN CREST TRL  ROCK SPRING, GA 30739-2095 US
Tel: 706-375-1117  Fax: --

Contact information for business:
100 AUTUMN CREST TRL  ROCK SPRING, GA 30739-2095 US
Tel: 706-375-1117  Fax: --

Registration Information:
NPI: 1124360185
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
TN1930
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
GA001273

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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