Individual
BARBARA GURCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
(678) 552-6200
Mailing address
2101 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001526
GA
Other
Enumeration date
03/15/2018
Last updated
10/27/2019
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