Individual
MRS. TINA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 830-9517
(770) 830-5957
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 830-9517
(770) 830-5957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003685
GA
Other
Enumeration date
04/17/2006
Last updated
09/19/2007
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