Individual
ALIVIA CONTI BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4640 MARTIN ROAD, CUMMING, GA 30041-5571
(678) 679-1261
(678) 250-9010
Mailing address
2603 KENSINGTON ALY, GAINESVILLE, GA 30504-2689
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005004
GA
Other
Enumeration date
05/18/2010
Last updated
08/03/2017
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