Individual
MR. ISAAC WASHINGTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
6520 SNOWBIRD LN, DOUGLASVILLE, GA 30134-5770
(678) 386-9561
Mailing address
PO BOX 6481, DOUGLASVILLE, GA 30154-0025
(678) 386-9561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3445
SC
225X00000X
Occupational Therapist
Primary
OT003857
GA
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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