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Individual

MICHELE BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
350 BOULEVARD SE, ATLANTA, GA 30312-3352
(404) 688-6731
Mailing address
886 DESHON CREEK DR, LITHONIA, GA 30058-2936
(419) 215-9950

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001011
GA

Other

Enumeration date
12/05/2017
Last updated
03/17/2018
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