Individual
NAEHA PATEL SUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLC
Contact information
Practice address
1772 MOUNTAIN OAK RD NW, KENNESAW, GA 30152-4278
(678) 498-0588
Mailing address
1772 MOUNTAIN OAK RD NW, KENNESAW, GA 30152-4278
(678) 498-0588
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
358932
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT005797
GA
Other
Enumeration date
11/12/2013
Last updated
10/18/2025
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