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Individual

NATARRA DOMINIQUE MAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1510 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9112
(470) 870-8729
Mailing address
7294 LAKE RUN CIR, STONE MOUNTAIN, GA 30087-6363
(470) 870-8729

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016339
NY
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
12/14/2010
Last updated
10/22/2024
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