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1427741925
PHU THO SRIKANCHANA
DECATUR, GA
NPI
1427741925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT008486)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
PHU THO SRIKANCHANA
1894 LUDOVIE LN
DECATUR, GA 30033-1044
Phone number: 678-626-0557
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Mailing Address
PHU THO SRIKANCHANA
2504 OLD NORCROSS RD
TUCKER, GA 30084-3119
Phone number: 404-423-2038
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