Individual
SHYAMALA STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17A LENOX POINTE NE, ATLANTA, GA 30324-3171
(404) 325-3339
Mailing address
1422 WESTCHESTER RDG NE, ATLANTA, GA 30329-2484
(404) 325-3339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003967
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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