Individual
MISS ELLEN ELISABETH SHIRAEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
762 N MAIN ST, ALPHARETTA, GA 30009-2376
(678) 783-6815
Mailing address
4665 WATERBROOKE XING, ALPHARETTA, GA 30004-3566
(423) 838-8207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007676
GA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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