Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Criswell

Individual provider Occupational Therapy Assistant · NPI 1417291980

Stephanie Criswell is an Occupational Therapy Assistant in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
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Practice location Address checks out

1312 Trees Of Kennesaw Pkwy NW
Kennesaw, GA 30152-7657
Phone: (814) 574-5460
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA001167 (GA)

Record details

NPI number1417291980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2012
Last updated in NPPESNovember 23, 2012
Mailing address1312 Trees Of Kennesaw Pkwy Nw, Kennesaw, GA 30152-7657

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