Individual
TEMPERANCE MILLER ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,OTR/L
Contact information
Practice address
1230 JOHNSON FERRY PL STE G10, MARIETTA, GA 30068-2045
(770) 321-6705
Mailing address
3205 CUMBERLAND BLVD SE UNIT 530, ATLANTA, GA 30339-4393
(205) 499-3416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008767
GA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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