Individual
WHITNEY TELFARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4535 FLAT SHOALS PKWY, SUITE 301, DECATUR, GA 30034-5039
(404) 244-9477
Mailing address
1874 WILSON WYND WAY, LAWRENCEVILLE, GA 30043-6059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005369
GA
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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