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Individual

ALISHA E BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
4445 GROVE DR NW, ACWORTH, GA 30101-6397
(404) 434-8354
(888) 865-4646
Mailing address
4445 GROVE DR NW, ACWORTH, GA 30101-6397
(404) 434-8354
(888) 865-4646

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006416
GA

Other

Enumeration date
03/07/2016
Last updated
01/26/2023
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