Individual
LATHA BALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5540 PRESERVE CIR, ALPHARETTA, GA 30005-7269
(260) 579-2435
Mailing address
5540 PRESERVE CIR, ALPHARETTA, GA 30005-7269
(260) 579-2435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31002212A
IN
225X00000X
Occupational Therapist
Primary
OT005462
GA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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