Individual
ELODIE NESTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1170 PEACHTREE ST NE FL 16, ATLANTA, GA 30309-7649
(212) 689-5555
Mailing address
6292 CORNELIA DR, DOUGLASVILLE, GA 30134-2214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006394
GA
Other
Enumeration date
03/13/2016
Last updated
06/13/2023
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