Individual
MARYBETH EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3260 KEITH BRIDGE RD, 220, CUMMING, GA 30041-3937
(770) 886-6282
(770) 205-8892
Mailing address
3260 KEITH BRIDGE RD, 220, CUMMING, GA 30041-3937
(770) 886-6282
(770) 205-8892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT002740
GA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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