Individual
MRS. SIERRA SIMONE TROUPE CHILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1385
(404) 261-6611
Mailing address
134 OVERLOOK PARK LN, LAWRENCEVILLE, GA 30043-7356
(314) 229-8722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002517
GA
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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