Individual
TERESA NGUYEN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 RESEARCH CT, SUITE 800, SUWANEE, GA 30024-6606
(770) 205-5551
Mailing address
5050 RESEARCH CT, SUITE 800, SUWANEE, GA 30024-6606
(770) 205-5551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006411
GA
Other
Enumeration date
04/17/2016
Last updated
10/08/2018
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