Individual
MR. ZAVYION LEROY HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 JOHNSON FERRY RD, MARIETTA, GA 30062-6438
(762) 333-4396
Mailing address
1551 JOHNSON FERRY RD, MARIETTA, GA 30062-6438
(762) 333-4396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002143
GA
224Z00000X
Occupational Therapy Assistant
—
NC
Other
Enumeration date
04/10/2012
Last updated
10/13/2016
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