Individual
BADRASHILA TAILOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8110 SAINT MARLO COUNTRY CLUB PKWY, DULUTH, GA 30097-1625
(404) 513-6192
(770) 995-9604
Mailing address
8110 SAINT MARLO COUNTRY CLUB PKWY, DULUTH, GA 30097-1625
(404) 513-6192
(770) 995-9604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000727
GA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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