Individual
ELIZABETH PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2950 CHEROKEE ST NW STE 500, KENNESAW, GA 30144-6500
(678) 903-5506
Mailing address
2950 CHEROKEE ST NW STE 500, KENNESAW, GA 30144-6500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006050
GA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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