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Individual

JULIE R DICER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTRL

Contact information

Practice address
1500 OGLETHORPE AVE, ATHENS, GA 30606-2179
(706) 389-2273
Mailing address
PO BOX 6588, ST MARYS HOME HEALTH CARE, ATHENS, GA 30604-9828
(706) 389-2273
(706) 208-8883

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OO3204
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00897179A
GA
Enumeration date
07/20/2006
Last updated
07/08/2007
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