Individual
MONIQUE HACHE-BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DURHAM DR, FAYETTEVILLE, GA 30214-1231
(770) 716-1489
(770) 716-1489
Mailing address
120 DURHAM DR, FAYETTEVILLE, GA 30214-1231
(770) 716-1489
(770) 716-1489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665068B
—
GA
Enumeration date
06/27/2007
Last updated
07/08/2007
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