Individual
TERESA IATRIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3950 COBB PKWY NW STE 801, ACWORTH, GA 30101-9524
(770) 917-5737
Mailing address
1314 GLEN CEDARS DR, MABLETON, GA 30126-7607
(404) 353-0134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005912
GA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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