Individual
REBECA CHAVELY MATOS ROJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 DUNWOODY PARK STE 104, DUNWOODY, GA 30338-6711
(678) 616-1330
Mailing address
5900 DODSON RD, UNION CITY, GA 30291-1228
(787) 923-8816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003530
GA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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