Individual
CHAVA NEIDITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 MCCONNELL DR STE B, DECATUR, GA 30033-3507
(770) 892-6878
(404) 521-4121
Mailing address
1270 MCCONNELL DR STE B, DECATUR, GA 30033-3507
(770) 892-6878
(404) 521-4121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005533
GA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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