Individual
MRS. GIESELLA LYDIA MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3460 POWDER SPRINGS RD, POWDER SPRINGS, GA 30127-2322
(770) 439-9199
Mailing address
3650 VALLEY HILL RD NW, KENNESAW, GA 30152-3238
(678) 354-5113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003829
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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