Individual
LARA D ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1200 LAKE HEARN DR NE, SUITE 250, ATLANTA, GA 30319-1415
(404) 943-1070
(404) 943-0890
Mailing address
4305 PAXTON LN SW, APT 1307, LILBURN, GA 30047-3389
(404) 943-0890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00956282A
—
GA
Enumeration date
01/31/2007
Last updated
07/08/2007
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