Individual
SHAMA PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S JOHNSON FERRY RD, ATLANTA, GA 30319-1612
(404) 252-2002
Mailing address
12320 CLAIRMONTE AVE, ALPHARETTA, GA 30009-8317
(404) 519-5544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001793
GA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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