PHU THO SRIKANCHANA

DECATUR, GA
NPI1427741925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT008486)
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
PHU THO SRIKANCHANA
1894 LUDOVIE LN
DECATUR, GA 30033-1044
Phone number: 678-626-0557
Mailing Address
PHU THO SRIKANCHANA
2504 OLD NORCROSS RD
TUCKER, GA 30084-3119
Phone number: 404-423-2038