Individual
LAURA BARONE UMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 NORTH AVE NE APT 3228, ATLANTA, GA 30308-3073
(215) 622-8766
Mailing address
641 NORTH AVE NE APT 3228, ATLANTA, GA 30308-3073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016774
PA
225X00000X
Occupational Therapist
OT007592
GA
Other
Enumeration date
12/17/2019
Last updated
12/13/2024
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