Individual
RACHEL DEONNA WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13291 HIGHWAY 92, WOODSTOCK, GA 30188-4455
(678) 424-5078
Mailing address
39 SAMUEL WAY NW, CARTERSVILLE, GA 30121-4637
(706) 371-1933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005815
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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