Individual
LESLIE HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7220 SCOTSHIRE WAY, CUMMING, GA 30040-7396
(678) 739-1835
Mailing address
7220 SCOTSHIRE WAY, CUMMING, GA 30040-7396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000361
GA
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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