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

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

Practice location Address checks out

1312 Trees Of Kennesaw Pkwy NW
Kennesaw, GA 30152-7657
Phone: (814) 574-5460
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 OTA001167 (GA)

Record details

NPI number1417291980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2012
Last updated in NPPESNovember 23, 2012

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