Individual
LASHAY M AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2790 ELKMONT RDG SW, ATLANTA, GA 30331-9434
(843) 319-0592
(404) 346-7869
Mailing address
PO BOX 2128, POWDER SPRINGS, GA 30127-7509
(843) 319-0592
(404) 346-7869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427245828
—
GA
Enumeration date
09/29/2007
Last updated
11/10/2011
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