Individual
KAMILLE RODRIGUEZ-OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
(678) 377-2882
Mailing address
3720 LAKESIDE WALK DR NW, LILBURN, GA 30047-2890
(404) 395-7033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005988
GA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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