Individual
MS. LINDSAY MARCELLE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4900 IVEY RD NW STE 1720, ACWORTH, GA 30101-4101
(770) 917-5737
(770) 917-5740
Mailing address
4900 IVEY RD NW STE 1720, ACWORTH, GA 30101-4101
(770) 917-5737
(770) 917-5740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006956
GA
225X00000X
Occupational Therapist
Primary
OT006956
GA
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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