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1609075837
LISA R ADE
KENNESAW, GA
NPI
1609075837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 2790)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
Mrs. LISA R ADE OTR/L
2015 VAUGHN RD NW SUITE 130
KENNESAW, GA 30144-7801
Phone number: 770-425-6661
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Mailing Address
Mrs. LISA R ADE OTR/L
130 WINDSONG TRL
CANTON, GA 30114-6661
Phone number:
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OMNIA THERAPY SOLUTIONS LLC