Willard, Stefanie Lee
Willard, Stefanie Lee is an individual health care provider with primary practice located at 470 S Hill Street , Buford GA 30518-3220. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Willard, Stefanie Lee can be contacted via phone (678) 482-6100.Contact Information
Primary practice address
470 S Hill Street
Buford GA 30518-3220
Phone: (678) 482-6100
Fax: (770) 932-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT003150 | Georgia |
Profile Details
| NPI number | 1447311436 |
|---|---|
| LBN Legal business name | Willard, Stefanie Lee |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Aug 27th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447311436 | NPPES |
| Georgia | MEDICAID | 000876103C |
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