Individual
QUIANNA CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE T05, ATLANTA, GA 30307-3408
(404) 575-4000
(404) 575-4010
Mailing address
675 SEMINOLE AVE NE, SUITE T05, ATLANTA, GA 30307-3408
(404) 575-4000
(404) 575-4010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 42966674
GA
225X00000X
Occupational Therapist
Primary
OT003401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475275814C
—
GA
Enumeration date
10/02/2006
Last updated
02/20/2020
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