Individual
MISS MICHELLE ANTOINETTE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 ARBOR CROSSING DR, LITHONIA, GA 30058-4883
(708) 415-2443
Mailing address
115 ARBOR CROSSING DR, LITHONIA, GA 30058-4883
(708) 415-2443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007941
GA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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