Individual
LYDIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1755 HIGHWAY 34 E STE 1300, NEWNAN, GA 30265-3186
(770) 254-7850
Mailing address
170 MIDDLING LN, FAYETTEVILLE, GA 30214-3767
(470) 884-9369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009029
GA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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