Individual
MRS. LYDIA MARCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 SOLITAIRE CT, BOGART, GA 30622-1976
(478) 387-5005
Mailing address
1011 SOLITAIRE CT, BOGART, GA 30622-1976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001733
GA
224Z00000X
Occupational Therapy Assistant
—
GA
Other
Enumeration date
08/31/2021
Last updated
09/01/2021
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