Individual
MALGORZATA BASTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 ATKINSON RD STE 1100, LAWRENCEVILLE, GA 30043-7986
(770) 995-2379
(770) 995-2385
Mailing address
1509 ATKINSON RD STE 1100, LAWRENCEVILLE, GA 30043-7986
(770) 995-2379
(770) 995-2385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006917
GA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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