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Individual

ABRIANNA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3852 FAIRINGTON DR, HEPHZIBAH, GA 30815-6101
(706) 220-4730
Mailing address
3852 FAIRINGTON DR, HEPHZIBAH, GA 30815-6101

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
449850
GA

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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