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Individual

MS. EMILY DANIELLE VENABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS, OTR/L

Contact information

Practice address
4939 LOWER ROSWELL RD, BLDG C, SUITE 201, MARIETTA, GA 30068-4338
(770) 578-1519
(770) 578-0860
Mailing address
4939 LOWER ROSWELL RD, BLDG C, SUITE 201, MARIETTA, GA 30068-4338

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004079
GA
225XE0001X
Environmental Modification Occupational Therapist
OT004079
GA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT004079
GA
225XP0200X
Pediatric Occupational Therapist
OT004079
GA

Other

Enumeration date
03/09/2009
Last updated
03/09/2009
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