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Individual

DEEPAK SATAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
2215 LAKE PARK DR SE, APT# M, SMYRNA, GA 30080-8897
(404) 384-3916
Mailing address
2215 LAKE PARK DR SE, APT# M, SMYRNA, GA 30080-8897
(404) 384-3916

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002169
GA

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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