Individual
KAPRICE ESTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 GLENWOOD RD, DECATUR, GA 30032-4727
(404) 284-6414
Mailing address
4115 GLENWOOD RD, DECATUR, GA 30032-4727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002248
GA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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