KIRSTIE LEIGH LUGO

ROSWELL, GA
NPI1942603972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  ota001546)
Enumeration Date2014-10-05
Last Update Date2014-10-05
Business Address
-- KIRSTIE LEIGH LUGO
400 MARIETTA HWY
ROSWELL, GA 30075-4706
Phone number: 770-609-4502
Mailing Address
-- KIRSTIE LEIGH LUGO
995 WILDE RUN CT
ROSWELL, GA 30075-7186
Phone number: 757-593-3633