Individual
BARBARA ANN GORDON HEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-4585
Mailing address
1119 GUNNISON CT, CLARKSTON, GA 30021-2833
(404) 299-9858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001458
GA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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