Organization
BALANCED BODY AND MIND OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ARLENE TRENTHAM MS, OTR/L (OCCUPATIONAL THERAPIST)
(470) 645-1477
Entity
Organization
Contact information
Practice address
1101 JUNIPER ST NE APT 709, ATLANTA, GA 30309-7659
(470) 645-1477
Mailing address
1101 JUNIPER ST NE APT 709, ATLANTA, GA 30309-7659
(470) 645-1477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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