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Individual

CYNTHIA STANDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
(678) 377-2882
Mailing address
2005 HUNTINGTON HILL TRCE, BUFORD, GA 30519-4295
(770) 271-2484

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000612
GA

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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