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1992347363
ALEXA FEDUCHAK
DALLAS, GA
NPI
1992347363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT007549)
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
ALEXA FEDUCHAK MS, OTR/L
3044 DUE WEST RD
DALLAS, GA 30157-2125
Phone number: 770-443-9672
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Mailing Address
ALEXA FEDUCHAK MS, OTR/L
3044 DUE WEST RD
DALLAS, GA 30157-2125
Phone number: 770-443-9672
Copy
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