Individual
MR. BRIAN PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
7372 MELHANA LN, UNION CITY, GA 30291-5178
(678) 361-8687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003767
GA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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