Individual
TAMARA MILLS WYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., OTR/L, ATP
Contact information
Practice address
201 CARDIGAN CIR SW, LILBURN, GA 30047-2109
(678) 592-9810
Mailing address
201 CARDIGAN CIR SW, LILBURN, GA 30047-2109
(678) 592-9810
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
Primary
OT003050
GA
Other
Enumeration date
08/01/2006
Last updated
01/18/2025
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