Individual
NICOLE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4680 MORTON RD, ALPHARETTA, GA 30022-5523
(770) 886-6800
Mailing address
11193 CALYPSO DR, ALPHARETTA, GA 30004-7615
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004374
GA
Other
Enumeration date
03/07/2007
Last updated
07/23/2007
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