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Individual

LISA MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5455 GLENRIDGE DR, ATLANTA, GA 30342-4968
(770) 685-4966
Mailing address
5455 GLENRIDGE DR, ATLANTA, GA 30342-4968
(770) 685-4966

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003800
GA

Other

Enumeration date
12/04/2015
Last updated
06/25/2022
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