ALEXANDER MINEVICH

KENNESAW, GA
NPI1629176391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT003641)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Mr. ALEXANDER MINEVICH OTR/L
3744 PARK TRACE NW
KENNESAW, GA 30144
Phone number: 770-841-3154
Mailing Address
Mr. ALEXANDER MINEVICH OTR/L
3744 PARK TRACE NW
KENNESAW, GA 30144
Phone number: 770-841-3154