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

Stephanie McHenry Moore, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1508591124

Stephanie McHenry Moore, COTA/L is an Occupational Therapy Assistant in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

101 Devant St Ste 703
Fayetteville, GA 30214-2717
Phone: (770) 847-6760
Fax: (404) 393-6718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA000570 (GA)

Record details

NPI number1508591124
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

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