Individual
MRS. DAYLA DEESE WITTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CARTER AVE, CARROLLTON, GA 30117-4308
(404) 402-7633
Mailing address
121 CARTER AVE, CARROLLTON, GA 30117-4308
(404) 402-7633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001576
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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