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Individual

VERONICA JUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1025 E WEST CONNECTOR STE 406, AUSTELL, GA 30106-8531
(770) 384-1001
(770) 384-0333
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-8907
(423) 954-7408

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007629
GA

Other

Enumeration date
06/03/2020
Last updated
08/04/2020
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