Individual
PAYTON A MODARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1000 PROFESSIONAL PKWY, WOODSTOCK, GA 30188-3873
(864) 979-8521
Mailing address
989 MUIRFIELD DR, MARIETTA, GA 30068-2643
(803) 543-9805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007602
GA
225X00000X
Occupational Therapist
4143
NH
Other
Enumeration date
01/20/2020
Last updated
11/01/2025
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