CARMEL AST

DALLAS, GA
NPI1447653316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  ot006030)
Enumeration Date2014-10-06
Last Update Date2014-10-06
Business Address
-- CARMEL AST
3044 DUE WEST RD
DALLAS, GA 30157-2125
Phone number: 770-443-9672
Mailing Address
-- CARMEL AST
3044 DUE WEST RD
DALLAS, GA 30157-2125
Phone number:
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