Individual
TANITA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR / L
Contact information
Practice address
675 SEMINOLE AVE NE STE T05, ATLANTA, GA 30307-3410
(404) 575-4000
(404) 575-4010
Mailing address
675 SEMINOLE AVE NE STE T05, ATLANTA, GA 30307-3410
(404) 575-4000
(404) 575-4010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT002460
GA
Other
Enumeration date
10/03/2006
Last updated
12/03/2021
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