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Individual

MS. LEAH C GUANLAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
509 OGLETHORPE DR NE, BROOKHAVEN, GA 30319-2774
(703) 864-2004
Mailing address
509 OGLETHORPE DR NE, BROOKHAVEN, GA 30319-2774
(703) 864-2004

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005126
GA

Other

Enumeration date
05/08/2007
Last updated
02/19/2016
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