Individual
ALEXA N MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 PEACHTREE DUNWOODY RD STE 100, ATLANTA, GA 30328-1689
(205) 492-1006
Mailing address
7100 PEACHTREE DUNWOODY RD STE 100, ATLANTA, GA 30328-1689
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005849
GA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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