Individual
CATHERINE NICCOLE LIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12060 ETRIS RD STE F100, ROSWELL, GA 30075-1470
(770) 998-9599
Mailing address
12060 ETRIS RD STE F100, ROSWELL, GA 30075-1470
(770) 998-9599
(770) 645-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009659
GA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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