Individual
STEVEN SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1055 GRACE HILL DR, ROSWELL, GA 30075-5881
(502) 523-2533
Mailing address
1055 GRACE HILL DR, ROSWELL, GA 30075-5881
(502) 523-2533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006637
GA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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