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Individual

MRS. MARIE PIERRE GRETCHAIDA LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1500
(770) 461-4279
Mailing address
620 WINDSOR PL, FAIRBURN, GA 30213-6444
(770) 629-5766

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1281
GA

Other

Enumeration date
07/25/2011
Last updated
07/25/2011
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