Individual
NORA ELWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
(770) 460-0165
Mailing address
130 HOWARD LN, FAYETTEVILLE, GA 30215-1849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003058
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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