Individual
TONI DE LOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4381 BELLS FERRY RD NW, KENNESAW, GA 30144-1303
(724) 816-1800
(865) 951-7273
Mailing address
407 HILLCREST CIR, HENDERSONVILLE, NC 28792-3009
(828) 713-0560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007258
GA
Other
Enumeration date
01/11/2012
Last updated
12/03/2020
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