| NPI | 1629511555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON SWANSON Occupational Therapist 678-773-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006296) |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2021-11-03 |