Individual
KATIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 PERIMETER PARK DR, ATLANTA, GA 30341-1317
(770) 393-9901
(770) 936-4601
Mailing address
10745 BRUNSON DR, JOHNS CREEK, GA 30097-8465
(770) 542-8668
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT009684
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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