Individual
MRS. ZERILL COSTANILLA BAGUIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4860 TOWER VIEW TRL, SNELLVILLE, GA 30039-6503
(478) 973-3398
Mailing address
4860 TOWER VIEW TRL, SNELLVILLE, GA 30039-6503
(478) 973-3398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004524
GA
Other
Enumeration date
04/08/2009
Last updated
07/25/2016
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