Individual
CHANDRA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 CLIFTON RD NE, ATLANTA, GA 30329-4091
(404) 728-6548
Mailing address
1833 CLIFTON RD NE, ATLANTA, GA 30329-4091
(404) 728-6548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010179
NY
225X00000X
Occupational Therapist
Primary
OT00485
GA
Other
Enumeration date
06/21/2007
Last updated
12/06/2011
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