Individual
ANNA WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046
(678) 377-2833
Mailing address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006405
GA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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