Individual
JULIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 HOSPITAL RD, CANTON, GA 30114-2411
(678) 431-8569
Mailing address
116 HIGHLANDS DR, WOODSTOCK, GA 30188-6049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006988
GA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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