Individual
SAM OK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1000 NORTHSIDE DR NW STE 1500, ATLANTA, GA 30318-5479
(470) 347-9119
Mailing address
1000 NORTHSIDE DR NW STE 1500, ATLANTA, GA 30318-5479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008686
GA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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