Individual
MRS. DENISE WALZ VERMILYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(770) 517-2480
(770) 592-9431
Mailing address
PO BOX 670207, MARIETTA, GA 30066-0121
(770) 517-2480
(770) 592-9431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0413
GA
225XP0200X
Pediatric Occupational Therapist
Primary
0413
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0413
OCCUPATIONAL THERPAY LICE
GA
05
—
643429152A
—
GA
Enumeration date
12/13/2006
Last updated
12/02/2011
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