Individual
TYHANNA D. ESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
758 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-3385
(678) 985-7190
(678) 985-7158
Mailing address
758 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-3385
(678) 985-7190
(678) 985-7158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001393
GA
Other
Enumeration date
04/13/2006
Last updated
04/08/2008
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