MEDICARE: STINSON REHABILITATION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	002290	GA

General Provider Information

NPI Number	:	1760548127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STINSON REHABILITATION SERVICES

Provider Business Mailing Address
First Line	:	4376 BELLWOOD CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-7003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4376 BELLWOOD CIR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-7003
Country	:	US
Telephone Number	:	440-664-7200
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MRS. SHEKIAH FLOWERS STINSON
Credential	:	OTR
Telephone Number	:	404-664-7200

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	08/22/2020

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