Organization
THERAPEUTIC OUTCOMES FOR SELF-SUFFICIENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PATE OTR/L (OWNER)
(708) 415-2443
Entity
Organization
Contact information
Practice address
4128 CONLEY POND CT, DECATUR, GA 30034-6776
(678) 718-5286
Mailing address
520 W PONCE DE LEON AVE UNIT 2445, DECATUR, GA 30031-4190
(678) 718-5286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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