Individual
GABRIELLE SIMONE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1674
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007990
GA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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