Individual
HEATHER COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 SUTTERS POND RUN NW, KENNESAW, GA 30152-7009
(919) 800-9118
Mailing address
3525 SUTTERS POND RUN NW, KENNESAW, GA 30152-7009
(919) 800-9118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006372
GA
Other
Enumeration date
02/28/2016
Last updated
03/01/2016
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