Individual
TAYLOR NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 DUNWOODY PARK, DUNWOODY, GA 30338-6711
(404) 991-6807
Mailing address
267 LAKESTONE PKWY, WOODSTOCK, GA 30188-5423
(678) 772-1915
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
GA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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