Individual
RUCHIKA BAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 N MAIN ST, ALPHARETTA, GA 30009-3624
(770) 456-5716
Mailing address
5376 AMBERDEN HALL DR, SUWANEE, GA 30024-7335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003269
GA
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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