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1467082388
PAYTON A MODARELLI
WOODSTOCK, GA
NPI
1467082388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 007602)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
PAYTON A MODARELLI OTR
1000 PROFESSIONAL PKWY
WOODSTOCK, GA 30188-3873
Phone number: 864-979-8521
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Mailing Address
PAYTON A MODARELLI OTR
989 MUIRFIELD DR
MARIETTA, GA 30068-2643
Phone number: 803-543-9805
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